Brain abscess: Review of 89 cases over a period of 30 years

Abstract

SUMMARY 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 4500 of the patients, who presented as suffering from a space-occupying lesion. The most accurate diagnostic tool was angiography, which localized the lesion in 9000 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.

Clinico-Epidemiological Profile of Brain Abscess- A Single Center Study

“…In our study a preponderance of males over females (70:30) was found among our patients. These results were in concordance with results derived by Beller A J and colleagues with male over female ( 7 ) .…”

Clinico-Epidemiological Profile of Brain Abscess- A Single Center Study

“…In our study a preponderance of males over females (70:30) was found among our patients. These results were in concordance with results derived by Beller A J and colleagues with male over female ( 7 ) .…”

Clinical Profile, Microbiology, Management, and Outcome of Pediatric Brain Abscess at the University of the Philippines- Philippine General Hospital: A 5-Year Retrospective Study (2012-2016)

“…As in other studies focusing on children with brain abscesses 2,3,7 , no gender predilection was seen. The predominant age group is comparable with findings from other studies 3,4,7,20 . Predilection of the disease for this age group may be partly explained by the higher prevalence of paracranial infections particularly ear infections with contiguous spread 20 , as well as the <60% survival of children with critical congenital heart diseases up to 15 y/o 6 .…”

Current epidemiology of intracranial abscesses: a prospective 5 year study

“…Males were found to be more affected than females in the present study, irrespective of the age group. Similar observations have been reported from different parts of world (Beller et al, 1973;McClelland et al, 1978;Sinha et al, 2003;Bhand, 2004). It is clear from all these studies that males are more vulnerable to brain abscess irrespective of the geographical region.…”

Clinico-Epidemiological Profile of Brain Abscess- A Single Center Study

“…In our study a preponderance of males over females (70:30) was found among our patients. These results were in concordance with results derived by Beller A J and colleagues with male over female ( 7 ) .…”

Clinical Profile, Microbiology, Management, and Outcome of Pediatric Brain Abscess at the University of the Philippines- Philippine General Hospital: A 5-Year Retrospective Study (2012-2016)

“…As in other studies focusing on children with brain abscesses 2,3,7 , no gender predilection was seen. The predominant age group is comparable with findings from other studies 3,4,7,20 . Predilection of the disease for this age group may be partly explained by the higher prevalence of paracranial infections particularly ear infections with contiguous spread 20 , as well as the <60% survival of children with critical congenital heart diseases up to 15 y/o 6 .…”

Current epidemiology of intracranial abscesses: a prospective 5 year study

“…Males were found to be more affected than females in the present study, irrespective of the age group. Similar observations have been reported from different parts of world (Beller et al, 1973;McClelland et al, 1978;Sinha et al, 2003;Bhand, 2004). It is clear from all these studies that males are more vulnerable to brain abscess irrespective of the geographical region.…”

Clinico-Epidemiological Profile of Brain Abscess- A Single Center Study

“…In our study a preponderance of males over females (70:30) was found among our patients. These results were in concordance with results derived by Beller A J and colleagues with male over female ( 7 ) .…”

Clinical Profile, Microbiology, Management, and Outcome of Pediatric Brain Abscess at the University of the Philippines- Philippine General Hospital: A 5-Year Retrospective Study (2012-2016)

“…As in other studies focusing on children with brain abscesses 2,3,7 , no gender predilection was seen. The predominant age group is comparable with findings from other studies 3,4,7,20 . Predilection of the disease for this age group may be partly explained by the higher prevalence of paracranial infections particularly ear infections with contiguous spread 20 , as well as the <60% survival of children with critical congenital heart diseases up to 15 y/o 6 .…”

Current epidemiology of intracranial abscesses: a prospective 5 year study

“…Males were found to be more affected than females in the present study, irrespective of the age group. Similar observations have been reported from different parts of world (Beller et al, 1973;McClelland et al, 1978;Sinha et al, 2003;Bhand, 2004). It is clear from all these studies that males are more vulnerable to brain abscess irrespective of the geographical region.…”