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Redundant ventriculomegaly associated with brain abscess
1Kirikkale University Medical Faculty, Department of Neurosurgery, Kirikkale, Turkey.
Neurocirugia (Asturias, Spain)
|January 17, 2003
Summary
Brain abscesses can lead to ventriculomegaly, a condition where fluid accumulates in the brain. This review highlights a surprisingly high incidence of ventriculomegaly and associated edema following brain abscess treatment.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Brain abscesses are serious intracranial infections.
- Ventriculomegaly is a known complication of brain abscesses.
- Recent observations suggest a high incidence of ventriculomegaly.
Purpose of the Study:
- To report the high incidence of ventriculomegaly in brain abscess patients.
- To analyze the occurrence of periventricular edema.
- To evaluate the postoperative course of ventriculomegaly.
Main Methods:
- Retrospective review of 12 brain abscess cases over five years.
- Surgical procedures included burr-hole aspiration (10 cases) and craniotomy (2 cases).
- Ventriculomegaly assessed using Evans' Ratio on axial CT images.
Main Results:
- High incidence of ventriculomegaly (5/12) and periventricular edema (4/12) observed.
- Clinical features and radiological findings were consistent with literature.
- One patient death occurred.
Conclusions:
- Ventriculomegaly persisted or worsened postoperatively in most cases.
- Periventricular edema also showed persistence in a majority of affected patients.
- Findings emphasize the significant complication rate of ventriculomegaly in brain abscess.