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Published on: February 2, 2015
[Cerebral abscess in childhood]
J C García Abeja1, I Capón Echevarría, F Rubio Quiñones
1Hospital Infantil Virgen del Rocío, Sevilla.
Insights
Childhood brain abscesses are rare but serious. This study highlights common causes like ENT infections and meningoencephalitis, emphasizing the need for better prevention and treatment strategies.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
Context:
- Brain abscesses in children are uncommon but carry significant risks.
- Understanding their natural history is crucial for effective management.
Purpose:
- To study the natural history of pediatric brain abscesses.
- To identify predisposing factors and situations leading to brain abscesses in children for preventative measures.
Summary:
- Fifteen pediatric brain abscess cases were analyzed.
- Common etiologies included ENT infections and meningoencephalitis (33.3% each), followed by cyanotic congenital heart disease (13.3%).
- The incidence was higher in males (66.6%) and adolescents aged 10-15 (53.3%).
Impact:
- The study reports a 20% mortality rate.
- Significant neurological sequelae, including motor deficits (13.3%) and epilepsy (6.6%), were observed in survivors.
- Findings underscore the necessity for improved understanding of pathogenesis and treatment protocols for pediatric brain abscesses.
Abstract:
The brain abscess is not frequent in childhood. However, they have important and serious consequences. We have studied the natural history of fifteen cases, emphasizing the situations in which they appear with the purpose to avoid them. Our results are similar to those of other series in regard to the etiology, manifestations, diagnosis and treatment. The incidence was greater in males (66.6%) and between 10 to 15 years of age (53.3%). ENT infections and meningoencephalitis were the main origin in the same proportion (33.3%), followed by cyanotic congenital heart diseases (13.3%). Mortality rate was 20% and two survivors (13.3%) showed very important motor sequel. One of them (6.6%), also had a partial epilepsy. Our results recall the need for a better knowledge of pathogenesis and treatment of these patients.
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