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Brain abscess: Current management
Hernando Alvis Miranda1, Sandra Milena Castellar-Leones, Mohammed Awad Elzain
1Faculty of Medicine, University of Cartagena, Cartagena de Indias, Colombia.
Abstract:
Brain abscess (BA) is defined as a focal infection within the brain parenchyma, which starts as a localized area of cerebritis, which is subsequently converted into a collection of pus within a well-vascularized capsule. BA must be differentiated from parameningeal infections, including epidural abscess and subdural empyema. The BA is a challenge for the neurosurgeon because it is needed good clinical, pharmacological, and surgical skills for providing good clinical outcomes and prognosis to BA patients. Considered an infrequent brain infection, BA could be a devastator entity that easily left the patient into dead. The aim of this work is to review the current concepts regarding epidemiology, pathophysiology, etiology, clinical presentation, diagnosis, and management of BA.
Insights
Brain abscess (BA) is a serious brain infection requiring specialized neurosurgical skills. This review covers current knowledge on BA epidemiology, pathophysiology, diagnosis, and management to improve patient outcomes.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Brain abscess (BA) is a focal brain infection originating as cerebritis and developing into a pus collection within a capsule.
- Distinguishing BA from parameningeal infections like epidural abscess and subdural empyema is crucial.
Purpose of the Study:
- To review current concepts of brain abscess (BA).
- To cover epidemiology, pathophysiology, etiology, clinical presentation, diagnosis, and management of BA.
Main Methods:
- Literature review of current concepts on brain abscess.
Main Results:
- Brain abscess presents diagnostic and management challenges for neurosurgeons.
- Effective management requires integrated clinical, pharmacological, and surgical expertise.
Conclusions:
- Brain abscess, though infrequent, is a potentially devastating infection.
- Comprehensive understanding and management are vital for favorable patient prognosis.
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