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Journal of Korean Neurosurgical Society 2005;37(4): 268-271.
Clinical Features and Surgical Results of Brain Abscesses.
Dae Hee Park, Sang Hoon Lee, Kyoung Soo Lee, Ui Wha Chung, Kang Hwa Park, Young Woo Lee
1Department of Neurosurgery, Bongseng Memorial Hospital, Busan, Korea. vascular@hananet.net
2Department of Neurosurgery, Dongrae Bongseng Hospital, Busan, Korea.
This study is undertaken to review the characteristics, risk factors and the surgical outcomes in long term follow-up of brain abscesses. METHODS: We had reviewed medical records and radiological findings in patients with brain abscess who underwent operations in our hospital from January 1992 to June 2003. RESULTS: Observed 11 cases were comprised of 8 men and 3 women with 42 years old average age ranging from 17 to 66. Lesions were located at frontal lobe in 5 cases, parietal in 4 cases, temporal in 1 case, and occipital in 1 case. The mean follow-up period was 23.8 months and ranged from 5 to 33 months. The microbial sources of infection had been found in 5 cases (45%). The organisms were identified by using the microbial culture obtained from the excisional biopsy. We had applied all cases with surgical excision. Empirical antibiotic treatment started soon after diagnosis in all cases. The mortality and morbidity of surgical excision were low. Nine patients were neurologically improved. One patient had died after the operation due to acute respiratory distress syndrome (ARDS). CONCLUSION: The single and large abscess located in an accessible lesion is a good candidate for surgical excision because of it's low morbidity, mortality, and favorable outcome after surgical excision. Further study is required to compare the surgical excision with other treatment modalities of brain abscess.
Key Words: Brain abscess; Surgical excision; Antibiotics
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