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Open craniotomy for brain abscess: A forgotten experience?
BACKGROUND: Brain abscess carries a high morbidity and mortality despite medical advances. In this paper, we present a single institution's experience with the surgical treatment of brain abscess. METHODS: We retrospectively analyzed 33 cases of intracranial abscess who underwent surgical treat...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622376/ https://www.ncbi.nlm.nih.gov/pubmed/23607056 http://dx.doi.org/10.4103/2152-7806.109522 |
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author | Gadgil, Nisha Patel, Akash J. Gopinath, Shankar P. |
author_facet | Gadgil, Nisha Patel, Akash J. Gopinath, Shankar P. |
author_sort | Gadgil, Nisha |
collection | PubMed |
description | BACKGROUND: Brain abscess carries a high morbidity and mortality despite medical advances. In this paper, we present a single institution's experience with the surgical treatment of brain abscess. METHODS: We retrospectively analyzed 33 cases of intracranial abscess who underwent surgical treatment between January 2001 and December 2009. Patients were treated with aspiration through a single burr hole, open aspiration with ultrasound guidance, or complete abscess resection. The medical records were analyzed for demographics, clinical presentation, predisposing factors, imaging, microbiological investigations, treatment, and outcomes. RESULTS: There were 26 male and 7 female patients, aged between 12 and 78 years. The most common predisposing factor was head trauma. Surgical excision of the abscess was performed in 22 patients, open aspiration in 9 patients, and burr-hole aspiration in 2 patients. Repeat surgical procedure was required in six patients. Mortality in this series was 21%. A favorable outcome (Glasgow outcome scale 4 and 5) was achieved in 54%. There was no significant correlation between outcome and age, predisposing factor, treatment modality, or culture results. CONCLUSIONS: In this series, most patients were treated with an open technique, either by surgical excision or open aspiration of brain abscess. An open technique may reduce the need for additional imaging, surgical treatment, and length of antibiotic therapy. In resource-limited settings, excision of brain abscess may play a more important role in patient management while maintaining favorable outcomes. |
format | Online Article Text |
id | pubmed-3622376 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-36223762013-04-19 Open craniotomy for brain abscess: A forgotten experience? Gadgil, Nisha Patel, Akash J. Gopinath, Shankar P. Surg Neurol Int Original Article BACKGROUND: Brain abscess carries a high morbidity and mortality despite medical advances. In this paper, we present a single institution's experience with the surgical treatment of brain abscess. METHODS: We retrospectively analyzed 33 cases of intracranial abscess who underwent surgical treatment between January 2001 and December 2009. Patients were treated with aspiration through a single burr hole, open aspiration with ultrasound guidance, or complete abscess resection. The medical records were analyzed for demographics, clinical presentation, predisposing factors, imaging, microbiological investigations, treatment, and outcomes. RESULTS: There were 26 male and 7 female patients, aged between 12 and 78 years. The most common predisposing factor was head trauma. Surgical excision of the abscess was performed in 22 patients, open aspiration in 9 patients, and burr-hole aspiration in 2 patients. Repeat surgical procedure was required in six patients. Mortality in this series was 21%. A favorable outcome (Glasgow outcome scale 4 and 5) was achieved in 54%. There was no significant correlation between outcome and age, predisposing factor, treatment modality, or culture results. CONCLUSIONS: In this series, most patients were treated with an open technique, either by surgical excision or open aspiration of brain abscess. An open technique may reduce the need for additional imaging, surgical treatment, and length of antibiotic therapy. In resource-limited settings, excision of brain abscess may play a more important role in patient management while maintaining favorable outcomes. Medknow Publications & Media Pvt Ltd 2013-03-25 /pmc/articles/PMC3622376/ /pubmed/23607056 http://dx.doi.org/10.4103/2152-7806.109522 Text en Copyright: © 2013 Gadgil N http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Original Article Gadgil, Nisha Patel, Akash J. Gopinath, Shankar P. Open craniotomy for brain abscess: A forgotten experience? |
title | Open craniotomy for brain abscess: A forgotten experience? |
title_full | Open craniotomy for brain abscess: A forgotten experience? |
title_fullStr | Open craniotomy for brain abscess: A forgotten experience? |
title_full_unstemmed | Open craniotomy for brain abscess: A forgotten experience? |
title_short | Open craniotomy for brain abscess: A forgotten experience? |
title_sort | open craniotomy for brain abscess: a forgotten experience? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622376/ https://www.ncbi.nlm.nih.gov/pubmed/23607056 http://dx.doi.org/10.4103/2152-7806.109522 |
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