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Updated: Feb 7, 2026

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Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
Published on: January 20, 2023
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Brain abscesses from neglected open head injuries: experience with 17 cases over 20 years
1Regional Hospital of Sion, Switzerland.
Summary
This study reviews 17 post-traumatic brain abscess cases. Early surgical excision after aspiration is a highly effective treatment for brain abscesses, especially those caused by fractures.
Area of Science:
- Neurosurgery
- Infectious Diseases
Background:
- Post-traumatic brain abscesses are serious intracranial complications.
- Neglected compound depressed fractures are a primary cause of these abscesses.
Observation:
- A review of 17 civilian cases over 20 years treated with CT scanning.
- One case involved a newborn with a parietal abscess due to vacuum extraction.
Findings:
- Treatment methods included aspiration and surgical excision (craniotomy).
- Early subsequent excision (2-3 days post-aspiration) yielded satisfactory results with no deaths in 7 cases.
- Primary excision had a higher mortality rate (1 death in 4 cases).
- Bone fragments in the abscess cavity necessitate excision.
- Commonly cultured bacteria included mixed flora (streptococci, staphylococci) and Staphylococcus aureus.
Implications:
- Early surgical intervention, particularly excision, is crucial for managing post-traumatic brain abscesses.
- Antibiotics are vital adjuncts in treatment.
- CT scanning aids in diagnosis and management planning.
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