Childhood brain abscess: a single center experience

Yıl 2017, Cilt: 42 Sayı: 3, 427 - 435, 30.09.2017

Yurdal Gezercan Gökhan Çavuş Ali İhsan Ökten Gökhan Kuran Emre Bilgin Vedat Açık Burak Olmaz

https://doi.org/10.17826/cutf.296415

Öz

Purpose: Childhood brain abscesses are rare but potentially life-threatening, is a condition that requires immediate diagnosis and treatment. In this study, 10 pediatric brain abscess in the clinical manifestations, predisposing factors, distribution, localization, radiological features, and is intended to offer the choice of treatment in our clinic observation about the prognosis.

Material and Methods: Demographic data, complaints, signs and symptoms, predisposing factors, abscess localization, radiological findings, isolation of micro-organisms and treatment options have been examined retrospectively from the register prognosis and outcome. 

Results: 60% of patients complaining of fever and neurological examination, 60% varying degrees of changes in consciousness, nausea and vomiting 50%, 40% seizures have been identified. As predisposing factors otitis media-mastoiditis 3 cases, secondary to trauma abscess in 2 cases, the ventriculo-peritoneal shunt after meningitis 2 cases, pulmonary infection in 1 case, subacute bacterial endocarditis was found in 1 case was detected etiology in 1 patient. Only 1 patient medical therapy as a treatment method, 9 patients underwent surgical treatment (5 patients with excision of the capsule, 4 cases of burr hole aspiration) were applied. The mortality rate was found to be 10%.

Conclusion: Despite the increased use of antibiotics, otitis media and mastoiditis, meningitis due to trauma and ventriculo-peritoneal shunt is an important predisposing factor for brain abscess. 

Anahtar Kelimeler

Brain abscess, chronic otitis media, meningitis

Çocukluk çağı beyin abseleri: tek merkez deneyimi

Öz

Amaç: Çocukluk çağı beyin abseleri nadir görülen ancak potansiyel olarak yaşamı tehdit eden, acil teşhis ve tedavi gerektiren bir durumdur. Bu çalışmada 10 çocukluk çağı beyin absesinde klinik bulgular, predispozan faktörler, yayılma, lokalizasyon, radyolojik özellikler, tedavi seçimi ve prognoz hakkında kliniğimizin gözlemini sunmak amaçlanmıştır.

Gereç ve Yöntem: Hastaların demografik verileri, şikayet, semptom ve bulguları, predispozan faktörler, abse lokalizasyonu, radyolojik bulguları, mikro-organizmaların izolasyonu, tedavi seçenekleri, prognoz ve sonuçları kayıtlardan retrospektif olarak incelenmiştir. 

Bulgular: Hastaların şikayet ve nörolojik muayenelerinde  %60 ateş, %60 değişik derecelerde bilinç değişiklikleri,  %50 bulantı-kusma, %40 epileptik nöbet tespit edilmiştir. Predispozan faktörler olarak otitis media-mastoiditis 3 olgu, travmaya sekonder abse 2 olgu, ventrikülo-peritoneal şant sonrası menenjit 2 olgu, 1 olguda akciğer enfeksiyonu, 1 olguda subakut bakteriyel endokardit saptanmış, 1 olguda etyoloji saptanmamıştır. Tedavi yöntemi olarak 1 hastaya sadece medikal tedavi, 9 hastaya cerrahi tedavi (5 hastaya kapsül eksizyonu, 4 olguya burr hole aspirasyon) uygulanmıştır. Mortalite oranı %10 olarak bulunmuştur. 

Sonuç: Antibiyotik kullanımının artmasına rağmen otitis media ve mastoidit, travma ve ventrikülo-peritoneal şanta bağlı menenjit tabloları beyin abseleri için önemli bir predispozan faktördür. 

Anahtar Kelimeler

Beyin absesi, kronik otit, menenjit

Kaynakça

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