Diagnosis and Management of Brain Abscesses in Children

  • Taslim S. Soetomenggolo Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Jimmy Passat Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Hardiono D. Pusponegoro Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Sofyan Ismael Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Keywords: brain abscess; increased intracranial pressure; focal neurological disorders

Abstract

During 4 years, 20 patients with brain abscesses were hospitalized in the Departement of Child Health, Dr. Cipto Mangunkusumo General Hospital, jakarta. Of those 20 patients 11 were males and 9 were females. The youngest patient was 2 months old and the oldest was 12 years old. The important signs and symptoms in making diagnosis were the sign of injection, increased intracranial pressure, and focal neurological disorders. Laboratory examinations were of little value in establishing the diagnosls of brain abscess. By performing head CT Scan the diagnosis of brain abscess will be confirmed accurately. Of the 20 patients, 15 (75 %) suffered from single abscess and 5 (25 %) suffered from multiple abscesses. The results of treatment by surgical intervention were better than nonsurgical treatment. The high mortallty of the nonsurgical patients was caused by the severity of the disease due to the ignorancy of their parent.

References

1. Britt RH. Brain abscess. In : Wilkins, Rengachary, eds. Neurosurgery. st ed. Toronto: Me Graw-Hill , 1985: 1928-56.
2. Joubert MJ, Stephanov S. Computerized tomography and surgical treatment intracranial suppuration : Report of 30 consecutive unselectyed cases of brain abscess and subdural empyema.] Neurosurg 1977; 47: 73-8.
3. Liston TE, Tomasovic JJ, Stevens EA. Early diagnosis and management of cerebritis in a child. J Pediat 1979; 65 : 484-6.
4. Choudhury AR, Taylor JC, Whitaker R. Primary excision of brain abscesses. Br Med J 1977; 2 : 1119-21.
5. Jahn AJ, Snell GED. Otogenic intracranial complications. J Otolaringol 1980; 9 : 184- 93 (Cited by Britt, 1985).
6. Carey ME, Chou SN, French LA. Experience with brain abscesses. J Neurosurg 1972; 36 : 1-9.
7. Hagan RA. Early complication following penetrating wounds of the brain. J Neurosurg 1971; 34 : 132 - 41.
8. Beller A], Sahar A, Praiss I. Brain abscess : review of 89 cases over a period of 30 years. J Neural Neurosurg Psychiatry 1973; 36: 757-68.
9. Britt RH, Enzmann DR. Clinical stages of human brain abscess on serial CT scan after contrast infusion. Computerized tomographic; neuropathological, and clinical correlations. J Neurosurg 1983; 59 : 972-89.
10.Snyder RD. Brain abscess. In : Swaiman, ed. Pediatric neurology, principles and practice. Toronto: Mosby, 1989: 463-4.
11.Weil ML. Brain abscesses. In : Menkes ed. Texbook of child neurology, 4th. ed. London: Lea & Febiger, 1990: 349 - 53.
12.Rosenblum ML, Hoff JT, Norma D, Edwards MS. Berg BO. Nonoperative treatment of brain abscesses in selected highrisk patients.] Neurosurg 1980; 52 : 217-25.
Published
2019-01-29
How to Cite
1.
Soetomenggolo T, Passat J, Pusponegoro H, Ismael S. Diagnosis and Management of Brain Abscesses in Children. PI [Internet]. 29Jan.2019 [cited 14Nov.2024];32(5-6):118-4. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2107
Section
Pediatric Neurology
Received 2019-01-29
Published 2019-01-29