J Korean Neurosurg Soc.  1992 Aug;21(8):977-982.

Clinical Analysis of Brain Abscess

• Jung KY
• Lim YJ
• Kim TS
• Kim GK
• Rhee BA
• Leem W

Abstract

The author reviews 28 cases of brain anscess treated in Kyung Hee University over 13 years from January 1979 to December 1991. The patients consisted of 21 males and 7 females with predominance of 2nd and sixth decade. The commonest causes were ear and nose origin and respiratory tract infection. Common symptoms of the patients were headache and focal neurologic deficit which were followed nausea and mental disturbance and elevated WBC in peripheral blood and ESR also. The frequent location were parietal, temporal, frontal and cerebellum in order. As oon as the provizional diagnosis of brain abscess was made, antibiotics were started. Sterile cultures were obtained in 57% of abscess, common pathogen were proteus in aerobic culture and bacteroides in anaerobic culture in this study. In according to operative methods, drainange and aspiration had some recurrent cases, but excision had no recurrent cases. Excision was the best method in brain abscess which were large size, well capsulated and superficial location.

Keyword

Brain abcess; Drainage; Aspiration; Excision

MeSH Terms

Abscess
Anti-Bacterial Agents
Bacteroides
Brain Abscess*
Brain*
Cerebellum
Diagnosis
Drainage
Ear
Female
Headache
Humans
Male
Nausea
Neurologic Manifestations
Nose
Proteus
Rabeprazole
Respiratory Tract Infections
Anti-Bacterial Agents