International Journal of Advances In Case Reports

A STUDY OF CLINICAL FEATURES AND SURGICAL OUTCOME OF INTRACRANIAL ABSCESS: A CASE SERIES STUDY

Vishwanath Sidram1, Chandra Kumar PC2, Bellara Raghavendra3*

bellararaghu@gmail.com

Intracranial Abscess, Outcome.

Objectives to study the clinical profile and radiological profile of patients with intracranial abscess and to study the current surgical options and outcome. A case series study of twenty two patients with intracranial abscess was studied. Among the selected patients the socio-demographic profile, clinical profile and the surgical interventions undertaken and the outcome were noted. Appropriate descriptive statistics were used to analyse the findings and to draw the inferences. There were 14 males and 8 females. The mean age of presentation was 19.8 ± 9.7 years (range being from 5 years to 35 years). The duration of illness at the time of admission was 32.7±13.5 days (range 15 days to 60 days). Typically patients presented with fever, vomiting, headache and seizures. The predisposing conditions found were CSOM 16 (72.7%) and paranasal sinusitis 8 (36.2%). Computerized tomography confirmed the diagnosis and the most of the intracranial abscess were supratentorial 18 (81.8%), solitary 19 (86.4%) and intracerebral 13(59%) and the common location of the abscess was the temporal lobe of the cerebral hemisphere. All abscesses more than 2 cm in diameter were aspirated surgically. Secondary excision was performed in 11 patients and primary excision was done in 7 patients and 2 patients were treated conservatively. Complications were seen in 4 patients. Brain abscess is a serious infection which must be diagnosed early and treated aggressively. Management of intracranial abscess should be individualized depending upon the various important factors like age of the patient, the level of consciousness at the time of admission, multiplicity of abscesses, the nature of the infection and plane and level of the abscess.