Related Experiment Video
Updated: Dec 24, 2025
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Outcome of management of brain abscess in children
Ikram Ullah Khan1, Abdul Latif2, Muhammad Ashraf3
1Ikram Ullah Khan, Assistant Professor, Department of Paediatric Surgery, The Children's Hospital & The Institute of Child Health, Multan, Pakistan.
Insights
Pediatric brain abscess management involves surgical evacuation and antibiotics. Treating predisposing factors like sinusitis and otitis media can reduce incidence in children.
Area of Science:
- Pediatric Neurosurgery
- Infectious Diseases
- Surgical Management
Background:
- Brain abscess in children is a serious condition requiring prompt management.
- Predisposing factors such as sinusitis and otitis media are common.
- Early diagnosis and intervention are crucial for favorable outcomes.
Purpose of the Study:
- To evaluate the outcomes of pediatric brain abscess management.
- To identify predisposing factors and common locations of brain abscess in children.
- To assess the effectiveness of surgical intervention and antibiotic therapy.
Main Methods:
- Prospective observational study of children under 14 with brain abscess.
- Clinical data collection including history, examination, and investigations.
- Surgical management involving craniotomy, abscess evacuation, and wall excision.
Main Results:
- Twenty-five pediatric patients were included; 17 males and 8 females.
- Fever and vomiting were universal symptoms; sinusitis and otitis media were common predisposing factors.
- Craniotomy with pus evacuation and abscess wall excision was performed in all patients, with a 12% mortality rate.
Conclusions:
- Treating predisposing conditions like sinusitis and otitis media can decrease brain abscess incidence.
- Small abscesses (<2cm) may be managed with antibiotics alone.
- Complete surgical evacuation and appropriate antibiotics represent the gold standard for pediatric brain abscess management.
Objective:
To find out the outcome of management of brain abscess in children.
Methods:
This is prospective observational study conducted in the Department of Paediatric Neurosurgery at Children's Hospital and Institute of Child Health, Multan from July 2014 to June 2017. Children up to the age of 14 years suffering from brain abscess were admitted. After taking clinical history, general and systemic physical examination and necessary investigations, abscess was evacuated and abscess wall excised after performing craniotomy. Data was collected on a predesigned performa. Results were analyzed and compared with national and international literature through statistical package for social sciences (SPSS-20).
Results:
Twenty five patients up to 14 years of age were included. Seventeen (68%) were male and eight (32%) female. Fever and vomiting were present in all 25 (100%) patients. Paranasal sinusitis was predisposing causative factor in 9(36%) followed by otitis media in 7 (28%). Abscess was present in frontal lobe in 9 (36%), temporoparietal region in 8 (32%), posterior fossa in 5 (20%) and multiple abscesses in 3 (12%). Craniotomy was performed, pus evacuated and abscess wall excised in all 25 (100%) patients. Three (12%) patients expired.
Conclusion:
Incidence of brain abscess can be decreased by treatment of its predisposing causes as sinusitis and otitis media. Small abscess less than 2cm can be treated with antibiotics. Complete evacuation of pus and excision of abscess wall after performing craniotomy along with appropriate antibiotics is gold standard management of brain abscess in children.
More Related Videos
03:47A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
03:13Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy
Published on: June 28, 2024
Related Concept Videos
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
01:26Tonsillitis II: Management
01:22Aneurysm IV: Nursing Management
01:28Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include: