Experience with brain abscesses

Carey, Michael E.; Chou, Shelley N.; French, Lyle A.

doi:10.3171/jns.1972.36.1.0001

Cited by 158 publications

(45 citation statements)

References 16 publications

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“…On the contrary, the 10% rate of our series should be compared to the 15% of Belter et al [1973] and to the 38% in the pediatric series of Carey et al [1972], One fact should be pointed out in the present study: the 17% rate of mental sequelae. However, all these low IQs were found in children with cyanotic heart disease.…”

Section: Discussioncontrasting

confidence: 68%

Brain Abscess in Childhood

Hirsch¹,

Roux²,

Sainte‐Rose³

et al. 1983

Pediatr Neurosurg

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During the last 15 years, 34 children were treated for a brain abscess. 13 (38%) had cyanotic heart disease; 12 (35%) had an ENT infection. The standardized treatment protocol included puncture of the abscess and administration of antibiotic and antiedematous drugs. Postoperative permanent epidural monitoring of intracranial pressure and, in the last 5 years, repeated CT scans indicated if retapping the abscess or reinforcing the antiedematous treatment was necessary. In 7 out of these 34 cases the abscess had to be excised. Postoperative mortality rate was 6%. Overall mortality rate was 12%. Neurological sequelae were slight. Epilepsy frequency was 10%. Mental retardation (18%) was found only in cyanotic congenital heart disease to which it is related. Repeated CT scans demonstrated the progressive disappearance of the capsule within a few months. This study shows an improvement in the results when brain abscesses in children are punctured rather than excised.

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Section: Discussioncontrasting

confidence: 68%

Brain Abscess in Childhood

Hirsch¹,

Roux²,

Sainte‐Rose³

et al. 1983

Pediatr Neurosurg

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“…19 Moreover, many authors have reported that brain abscesses in children cause cognitive deficits. 14,15,19 These authors also document that a poorer prognosis in terms of normal intellectual development is expected in younger children…”

Section: Prognosismentioning

confidence: 88%

Management of brain abscesses in children

Frazier¹,

Ahn²,

Jallo³

2008

FOC

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✓ Brain abscesses occur infrequently but continue to be problematic for the pediatric neurosurgical community. The incidence of brain abscesses in children has not changed much, although individual reports may show an increase or decrease in the number of reported cases depending on the patient population studied. An increase could be attributed to earlier detection due to advancements in imaging modalities and/or to an increase in the number of children with immunodeficient states caused by AIDS, chemotherapy for malignant lesions, and immunosuppressive therapy for organ transplantation. A decrease in the incidence of brain abscesses could be attributed to practices such as antibiotic treatment for otitis media, sinusitis, and/or prophylactic antimicrobial treatment for congenital heart disease in children. The morbidity and mortality rates associated with brain abscesses have not changed dramatically in the antibiotic and imaging era, and their preferred management can vary among healthcare providers. These lesions have been successfully treated by neurosurgeons. The causes of brain abscesses are highly variable in children, which is also the case in adults, but the predisposing factors in the pediatric population differ in prevalence. Cyanotic congenital heart disease, hematogenous dissemination, contiguous infection, and penetrating traumatic injuries are the most common causes of brain abscesses in children. In this review, the authors discuss the causes and medical and surgical management of brain abscesses in children.

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“…Carey et al 6 . reported impaired scholastic ability in 70% of children tested 6 years after surgery.…”

Section: Discussionmentioning

confidence: 99%