Endoscopic Treatment of Intracerebral and Intraorbital Abscess due to Trauma

Yıl 2014, Cilt: 16 Sayı: 1, 60 - 62, 01.03.2014

Ergün Karavelioğlu Abdullah Ayçiçek Olcay Eser Emre Kaçar Abdulkadir Bucak Sahin Ulu

Öz

Brain abscess is a serious and life-threatening disease. Severe neurological deficits may remainin the survived cases. Brain absceses are often observed after ear infections. Other than this,they also occur after head trauma (with comminuted fracture, penetrating wounds), purulentmetastases of lung or other organs and skull osteomyelitis. Although brain absceses after headtrauma are rare, in this case report a patient who had a history of surgical intervention due tosevere brain trauma 20years ago, admitted with increasing visual impairment and seizureswithout any infection focus and then diagnosed with an abscess in orbital cavity and cranialregion was presented

Anahtar Kelimeler

Brain abscess, head trauma, endoscopic sinus surgery

TRAVMAYA BAĞLI OLUŞAN İNTRASEREBRAL VE İNTRAORBİTAL APSENİN ENDOSKOPİK TEDAVİSİ

Öz

Beyin apsesi ciddi, yaşamı tehdit eden bir durumdur. Yaşayan hastalarda ciddi nörolojik defisitlerkalabilmektedir. Beyin abseleri sıklıkla kulak enfeksiyonları sonrasında görülmektedir. Bunundışında kafa travması (parçalı kırık, penetran yaralar), akciğer veya diğer organlardan gelenpürülan enfeksiyonlar ve kafatası osteomiyeliti sonrasında da görülebilir. Kafa travmasınıtakiben gelişen beyin apsesi sık görülmemektedir. Bu olgu sunumunda, 20 sene öncesinde ciddibeyin travmasına bağlı cerrahi müdahale öyküsü olan ve uzun yıllar boyu herhangi bir nörolojiksemptomu olmayan ancak son zamanlarda artan görme bozukluğu ve nöbet şikayetleriylehastanemize başvuran, takibinde orbital kavite ve kranial bölgede apse saptanan bir vakasunuldu

Anahtar Kelimeler

Beyin absesi, kafa travması, endoskopik sinüs cerrahisi

Kaynakça

• Carpenter J, Stapleton S, Holliman R: Retrospective analysis of 49 cases of brain abscess and review of the literature. Eur J Clin Microbiol Infect Dis. 2007; 26(1):1-11.
• Sennaroğlu L: Beyin Absesi. T Klin J E N T. 3:162-167,2003.
• Kaplan K: Brain Abscess. Med Clin North Am. 1985; 69: 345 -360.
• Chun HC, Johson JD, Hofstetter M. Brain Abscess: A study of 45 consecutive cases. Medicine. 1986; 65: 415-43.
• Wispelwey B, Scheld WM: Brain abscess. In Mandell GL, Bennett JE, Dolin R (ed): Principles and Practice of Infectious Diseases, 4 th ed. New York. Churchill Livingstone, 1995.
• Yang S – Y. Brain Abscess: A review of 400 cases. J Neurosurg. 1981; 55: 794 -799.
• Wispelwey B, Dacey RG Jr, Scheld WM: Brain Abscess. In Scheld WM, Whitley RJ, Durack DT (ed): Infections of the Central Nervous System. New York. Raven Press, 1991.
• Mandell, Douglas and Bennett’s. 2000. Principles and Practice of Infectious Diseases: Chapter 74:1016-1028.
• Menkes J, Sarnat H. 2000. Childhood Neurology. 6. Edit. Chapter 6: 500-6.
• Bavetta S, Paterakis M, Srivatsa SR, Garvan N. Brainstem abscess: Preoperative MRI appearance and survival following stereotactic aspiration. J Neurosurg Sci. 1996; 40: 139 -143.
• Chacko AG, Chandy MJ: Diagnostic and staged stereotactic aspiration of multipl bihemispheric pyogenic brain abscess. Surg Neurol. 1997; 48: 278-282.
• Fritsch M, Manwaring KH: Endoscopic treatment of brain abscess in children. Minim Invasive Neurosurg. 1997; 40: 103 -106.
• Longatti P, Perin A, Ettorre F, Fiorindi A, Baratto V: Endoscopic treatment of brain abscesses. Childs Nerv Syst. 2006; 22(11):1447-50.
• Skrap M, Melatini A, Vassallo A, Sidoti C: Stereotactic aspiration and drainage of brain abscess: Exprience with 9 cases. Minim Invasive Neurosurg. 1996; 39: 108 – 112.
• Shahzadi S, Lozano AM, Bernstein M: Stereotactic management of bacterial brain abscesses. Can J Neurol Sci. 1996; 23: 34 – 39.
• Sarmast AH, Showkat HI, Bhat AR, Kirmani AR, Kachroo MY, Mir SF, Khan AA: Analysis and management of brain abscess; a ten year hospital based study. Turk Neurosurg. 2012; 22: 682-689.