Document Detail

Brain abscess. Review of 89 cases over a period of 30 years.
MedLine Citation:
PMID:  4585071     Owner:  NLM     Status:  MEDLINE    
Eighty-nine cases of brain abscess, diagnosed over a period of 30 years, are reviewed. The incidence of this disease did not decline throughout the period. Abscesses of ear and nose origin constituted the largest group (38%). Postoperative abscesses seem to have increased in incidence, presumably due to routine postoperative antibiotic treatment. Antibiotics were possibly responsible for the suppression of signs of infection in 45% of the patients, who presented as suffering from a space-occupying lesion. The most accurate diagnostic tool was angiography, which localized the lesion in 90% and suggested its nature in 61%. Brain scan may prove as satisfactory. Staphylococcus was cultured in about two-thirds of the cases. Mortality seemed to decrease concomitantly with the advent of more potent antibiotics. The treatment of choice in terms of both mortality and morbidity seemed to be enucleation after previous sterilization. The hazards of radical surgery should be taken into consideration.
A J Beller; A Sahar; I Praiss
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurology, neurosurgery, and psychiatry     Volume:  36     ISSN:  0022-3050     ISO Abbreviation:  J. Neurol. Neurosurg. Psychiatr.     Publication Date:  1973 Oct 
Date Detail:
Created Date:  1974-01-18     Completed Date:  1974-01-18     Revised Date:  2012-05-30    
Medline Journal Info:
Nlm Unique ID:  2985191R     Medline TA:  J Neurol Neurosurg Psychiatry     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  757-68     Citation Subset:  IM    
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MeSH Terms
Age Factors
Anti-Bacterial Agents / adverse effects
Bacteroides Infections
Brain / pathology
Brain Abscess / diagnosis,  etiology*,  mortality,  pathology,  surgery
Cerebral Angiography
Child, Preschool
Escherichia coli Infections
Haemophilus Infections
Klebsiella Infections
Meningococcal Infections
Middle Aged
Pneumococcal Infections
Postoperative Complications
Proteus Infections
Pseudomonas Infections
Radionuclide Imaging
Rupture, Spontaneous
Sex Factors
Staphylococcal Infections
Streptococcal Infections
Reg. No./Substance:
0/Anti-Bacterial Agents; 7440-26-8/Technetium

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