[Experiences with oto-rhinogenous brain abscesses (author's transl)].

Area of Science:

• Neurosurgery
• Infectious Diseases
• Otolaryngology

Context:

• Oto-rhinogenous brain abscesses present significant surgical challenges.
• Understanding infection pathways is crucial for patient outcomes.
• 43 surgical interventions were analyzed.

Purpose:

• To report the results and conclusions of surgical interventions for oto-rhinogenous brain abscesses.
• To differentiate outcomes based on infection routes: contact propagation versus venous reflux.
• To evaluate diagnostic imaging and surgical strategies.

Summary:

• Infection via contact propagation, often with meningitis, led to high mortality.
• Infection via venous reflux, associated with thrombosinusitis, showed improved patient recovery.
• Radiological methods like carotid angiography and pneumography aid abscess localization.
• Total abscess extirpation with an intact capsule is proposed as the ideal surgical approach.

Impact:

• Differentiates prognostic factors in brain abscess treatment.
• Highlights the importance of identifying the specific infection pathway.
• Informs surgical decision-making and the use of diagnostic imaging.
• Suggests optimal surgical technique for improved patient survival and recovery.