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Journal of Korean Neurosurgical Society 1984;13(4): 681-687. |
| Experience with 24 Consecutive Cases of Brain Abscess. |
| C H Kim, S J Oh, H D Jho, Y R Yoo, N K Kim, H Y Chung |
| Department of Neurosurgery, School of Medicine Hanyang University, Seoul, Korea. |
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| ABSTRACT |
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The development of computerized tomography brain scans gives convenient and accurate data about the location, number, size and shape of brain abscesses. With 24 cases of brain abscess, the author analyzed probable site, causative organisms, etiologies, operative showed that the methods mortality and antibiotic sensitivity. The results of analysis showed that the temporal lobe, which has been know as the most common site of brain abscess, was more prevalent than any other regin. The second common iste was the parietal lobe, particularly it's posterior region. The cerebellum was also a common site. Staphylococous was more common as a causative organism than streptococcus, and commonly associated diseases were pulmonary suppuration and otogenic diseases such as chornic otitis media and frontal sinusitis. Congenital heart disease was also rarely associated with brain abscess. The results of antibiotic sensitivity showed that the most sensitive antibiotic was Carbenicillin. Chloramphenicol and Gentamicin were also relatively sensitive. Most cases were treated with catheter drainage via burr hole and this method yielded good results over other operative methods. |
| Key Words:
Brain abscess; Catheter drainage; Pulmonary suppuration; Otogenic disease; Frontal sinusitis; Congenital heart disease |
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