Brain Abscess with Situs Inversus and Dextrocardia: A Case Report
Keywords:Brain abscess, Dextrocardia, Situs inversus, Craniotomy
Background: Brain abscess is a neurosurgical emergency. It has to be evacuated without any delay. Though these patients may have congenital heart diseases with ASD and VSD, presence of situs inversus and dextrocardia are relatively uncommon in neurosurgical practice.
Objective: The aim was to present the case with multiple episodes of convulsions and gradual deterioration of consciousness without history of fever.
Methods: The case was carefully evaluated with taking history and examining the patient. Diagnosis was confirmed with a MRI of the brain. It had shown a large ring enhancing lesion in the left temporal lobe which was diagnosed as brain abscess.
Results: The patient underwent left temporal craniotomy and the abscess was totally removed along with the capsule. He made an uneventful recovery.
Conclusion: Dextrocardia and cardiac congenital anomalies are serious conditions especially when they are accompanied with brain abscess. But prompt surgery and careful intraoperative and postoperative care can help the patient to recover early without any adverse event.
Bangladesh Med Res Counc Bull 2020; 46(1): 61-63
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