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[Brain abscess and extracerebral empyema].

M Gueye1, S B Badiane, Y Sakho

  • 1Clinique Neurochirurgicale, Centre Hospitalier Universitaire de Fann, Dakar-Fann, Sénégal.

Dakar Medical
|January 1, 1991
PubMed
Summary

This study reviews 80 cases of cranio-encephalic suppuration, finding brain abscesses and empyemas common in young males. Diagnostic and surgical advancements improved patient outcomes.

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Area of Science:

  • Neurosurgery
  • Infectious Diseases
  • Neurology

Context:

  • Presents a retrospective analysis of 80 cranio-encephalic suppuration cases from Dakar (1969-1990).
  • Highlights the prevalence in patients under 20, with a male predominance.
  • Identifies head trauma and otorhinolaryngeal infections as common preceding factors.

Purpose:

  • To analyze the clinical presentation, diagnostic methods, and treatment outcomes of cranio-encephalic suppurations.
  • To evaluate the effectiveness of diagnostic tools like cerebral angiography and echography.
  • To assess the impact of surgical techniques on patient prognosis.

Summary:

  • The study details 80 cases, including 55 brain abscesses and 25 extra-cerebral empyemas, with 13 autopsies.
  • Typical symptoms included intracranial hypertension, hemiparesis, and seizures; abrupt onset occurred in 16 cases, often subdural empyemas.
  • Cerebral angiography was the preferred diagnostic method, with echography useful in specific pediatric and post-operative scenarios.

Impact:

  • Simple puncture and drainage, along with bloc resection and echography, significantly improved post-operative results.
  • This research contributes to understanding the epidemiology and management of brain infections in a specific geographic and temporal context.
  • Emphasizes the importance of timely diagnosis and appropriate surgical intervention for better patient outcomes in cranio-encephalic suppurations.

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