Surgical treatment of brain abscess at Saint Paul Hospital
Main Article Content
Abstract
Surgical treatment of brain abscess helps eliminate the intracranial space-occupying lesion and allows for the identification of the causative bacteria. From January 2015 to January 2025, we treated 27 cases of brain abscess. The number of patients over 60 years old accounted for 48.1%. The symptoms of headache, hemiparesis, and epilepsy were 77.7%, 51.8%, and 29.6%, respectively. The location of the abscess was supratentorial in 88.9% of cases, multiple abscesses accounted for 25.9%, and abscesses with a diameter greater than 2cm were 81.5%. 77.8% of patients underwent abscess excision surgery. The pathogenic bacterium Staphylococcus aureus was found in 25.9% of cases, and in 10/27 cases, the bacteria could not be identified. There was 1 death among the 27 cases studied. The number of patients with good treatment outcomes (GOS IV-V) at the time of discharge and after 3 months was 81.4% and 85.2%, respectively. Surgical treatment shows promising results in the management of brain abscesses. For lesions located deep in the parenchyma, the use of intraoperative ultrasound is a feasible option.
Article Details
Keywords
Brain abscess, excision, aspiration
References
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