Management of Intracranial Abscess - Study of 30 cases

Abstract

Brain abscess may be solitary or multiple. They appear as areas of ill-defined cerebritis to
mature well defined focal suppurative lesion with capsulated abscesses. Multiple brain abscess
recognized in as many as 50% of patients. In this study 30 patients were analyzed. Solitary brain
abscess were more than multiple abscess. Age ranges from 6 years to 35 years. Male to female
ratio was 5:1. Intra parenchymal brain abscess occurred in all cases (100%), subdural or
extradural lesions were nil. Brain abscesses were associated with CSOM. CT scan done in all
(100%) patients as diagnostic tools. All (100%) patients under went Burr-hole evacuation with
broad-spectrum antibiotic therapy and 2 patients (06.66%) treated with long term anti tubercular
therapy. V-P shunt was made in 1 patient (03.33%) who had persistent venriculomegaly. In this
study mortality rate was zero.

doi: 10.3329/taj.v16i2.3887

TAJ December 2003; Vol.16(2): 73-75