Document Detail


Primary excision of pediatric posterior fossa abscesses--towards zero mortality? A series of nine cases and review.
MedLine Citation:
PMID:  12566837     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nine children with infratentorial brain abscesses were treated at our institution over a 3-year period. Seven of them were boys and two were girls. In five cases, the abscesses were otogenic, and in two cases, the cause was tubercular (including one case of tubercular otitis). There were three cases of abscess formation in dermoids. All cases were managed with primary excision of the abscess. The average hospital stay was 12 days, and there was no mortality. The most common complication was hydrocephalus, noticed in three patients, of whom one eventually required shunt placement. Our policy of primary excision of these abscesses has yielded gratifying results. This approach also resulted in minimal morbidity and a substantially shortened hospital stay. Moreover, primary excision yields definitive histopathology of the lesion, especially in cases of tubercular and dermoid etiologies.
Authors:
Deepak Agrawal; Ashish Suri; Ashok Kumar Mahapatra
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  38     ISSN:  1016-2291     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-04     Completed Date:  2003-04-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  63-7     Citation Subset:  IM    
Copyright Information:
Copyright 2003 S. Karger AG, Basel
Affiliation:
Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Brain Abscess / etiology,  mortality,  surgery*
Cerebellar Diseases / etiology,  mortality,  surgery*
Cerebrospinal Fluid Shunts
Child
Child, Preschool
Cranial Fossa, Posterior / surgery
Female
Follow-Up Studies
Humans
Hydrocephalus / etiology,  mortality,  surgery
Male
Postoperative Complications / etiology,  mortality,  surgery
Reoperation
Survival Rate
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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