[Brain abscess--modern diagnostics and therapeutic treatment]

Przegl Epidemiol. 2009;63(1):89-95.
[Article in Polish]

Abstract

Brain abscess is one of the most serious diseases of the central nervous system. This condition is more common among men--twice to three times, and morbidity rate is highest in fourth decade of the life. Etiologic agents of brain abscess are bacteria, fungus, protozoa and parasites. The development of the brain abscess can resulted from the spread of infection from local sites or bloodborne from distal sites. In 10-15% of cases multiple abscesses develop. Headache is the most common syndrome. The radiologic tests: computed tomography or magnetic resonance are tests of choice in diagnosis and monitoring of treatment. Treatment of brains abscesses required cooperation of different specialists: infectious diseases, neuroradiologist, neurologists and neurosurgeon. Decision about therapeutic methods depends on number, size and localization of lesions, and patient's condition. In conservative treatment empiric antibiotic therapy and supportive treatment are used. Actually two methods of surgical treatment are used: CT- guided stereotactic aspiration and incision of the brain abscess by craniotomy. Actually mortality rate is 6 to 24%. Among 30-56% patients permanent neurological complications are reported.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Anti-Infective Agents / therapeutic use
  • Bacterial Infections / complications
  • Brain Abscess / diagnosis*
  • Brain Abscess / etiology
  • Brain Abscess / therapy*
  • Combined Modality Therapy
  • Humans
  • Mycoses / complications
  • Stereotaxic Techniques
  • Surgery, Computer-Assisted
  • Tomography, X-Ray Computed

Substances

  • Anti-Infective Agents