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Intracranial infections like brain abscesses often occur in the frontal lobe and cerebellum. Previous surgery and comorbid diseases increase infection risk, with large abscesses benefiting from emergent surgical evacuation.

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Area of Science:

  • Neurosurgery
  • Infectious Diseases
  • Radiology

Background:

  • Intracranial infections pose significant risks, necessitating understanding of their origins and risk factors.
  • Surgical intervention is crucial for managing certain types of intracranial infections.

Purpose of the Study:

  • To review surgical experiences with intracranial infections.
  • To identify common locations and risk factors associated with surgical treatment.

Main Methods:

  • Retrospective analysis of 103 patients undergoing surgical evacuation for intracranial infections over 13 years.
  • Clinical and radiological data were statistically compared based on infection type, location, surgical history, and comorbidities.
  • Microbiological identification methods were employed.

Main Results:

  • Intraparenchymal abscesses (44.7%) were most common, followed by epidural empyema (31.0%) and subdural empyema (24.3%).
  • Frontal lobe and cerebellum were common sites for abscesses; frontoparietal region for subdural empyemas.
  • Previous cranial surgery and comorbid diseases were significant risk factors for intracranial infections.

Conclusions:

  • Brain abscesses frequently occur in the frontal lobe and cerebellum.
  • Patients with a history of cranial surgery and comorbidities are more susceptible to intracranial infections.
  • Emergent surgical evacuation is indicated for large abscesses with significant edema.