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Brain abscess in childhood.

F Theophilo, E Markakis, L Theophilo

    Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
    |January 1, 1985
    PubMed
    Summary
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    Erich Fischer-brügge (28.12.1904-4.2.1951) -- founder of neurosurgery at the university of Münster.

    Zentralblatt fur Neurochirurgie·2006

    This study reviews 19 childhood brain abscess cases over 10 years. Management involved antibiotics and surgery, with varied etiologies and neurological signs, highlighting key treatment considerations.

    Area of Science:

    • Pediatric Neurology
    • Neurosurgery
    • Infectious Diseases

    Background:

    • Brain abscesses in children present diverse etiologies.
    • Understanding the spread patterns and common neurological signs is crucial for timely diagnosis.

    Purpose of the Study:

    • To review a decade of experience in managing pediatric brain abscesses.
    • To analyze the etiology, localization, bacteriology, and treatment outcomes.

    Main Methods:

    • Retrospective review of 19 pediatric brain abscess cases (ages 1-18).
    • Analysis of etiological factors, abscess location, neurological presentation, microbiological findings, and treatment modalities (antibiotics, surgery).

    Main Results:

    • Common etiologies included rhinogenic (5), congenital heart disease (5), and hematogenous (3).

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  • Neurological signs frequently observed were paresis and cranial nerve involvement (10 cases each).
  • Bacteriology revealed sterile abscesses (6), aerobic bacteria (6), anaerobic bacteria (6), and mixed infections (1).

    • Conclusions:

    • Effective management of pediatric brain abscesses requires a comprehensive approach addressing etiology, localization, and bacteriology.
    • Surgical intervention combined with preoperative antibiotics is a primary treatment strategy for most cases.