It's Not a Tumor: Cyanotic Heart Disease Presenting as a Brain Mass

Beachey, Joel; Warnes, Carole A.

doi:10.1016/s0735-1097(19)33378-9

Cited by 1 publication

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“…Out of 10, 8 were case reports and 2 were retrospective cohort studies, making a total of 25 patients reported in the literature who had Eisenmenger syndrome and cerebral abscess (Table 1). [4][5][6][7][8][9][10][11][12][13] The retrospective cohort study by Daliento et al included a cohort of patients with Eisenmenger syndrome, 7 of whom had cerebral abscess. They commented that although cerebral abscess in patients with Eisenmenger syndrome had significant morbidity, they did not affect mortality.…”

Section: Observationsmentioning

confidence: 99%

Cerebral abscess as a neurosurgical emergency in Eisenmenger syndrome: illustrative case

Datta

Sekar

2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND Eisenmenger syndrome caused by severe pulmonary arterial hypertension in congenital heart disease can cause multisystemic involvement and is a risk factor for development of cerebral abscess. Cerebral abscess, if not detected and treated in a timely manner, can present as acute neurosurgical emergency. OBSERVATIONS The authors reported a case of cerebral abscess in a patient with Eisenmenger syndrome. The patient presented with acute neurological deterioration with mass effect and cerebral infarcts and received emergency neurosurgical intervention. A further literature search was done to identify prior reported cases of cerebral abscess with Eisenmenger syndrome. LESSONS Patients with Eisenmenger syndrome have compromised cardiorespiratory status, and decision for neurosurgical intervention should be given careful consideration. Multidisciplinary team management along with preoperative optimization of the patient should be used.

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