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[The cerebral abscess (author's transl)].
MMW, Munchener Medizinische Wochenschrift
|January 11, 1980
Summary
Cerebral abscess, a serious brain infection, is rare but can arise from chronic infections. Early diagnosis with computer tomography and combined therapy significantly reduces mortality.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Context:
- Cerebral abscess incidence is 1 in 500,000 annually.
- Represents 2 in 1,000 neurosurgical operations.
- Often develops metastatically from chronic cranial or pulmonary infections.
Purpose:
- To assess the incidence, development, causative organisms, diagnosis, and treatment outcomes of cerebral abscess.
- To highlight the role of computer tomography in early diagnosis and management.
Summary:
- Cerebral abscess progresses from focal encephalitis through a latent stage to a manifest encapsulated abscess.
- Anaerobic organisms are common in metastatic/advanced abscesses; aerobic in primary infections.
- Computer tomography is the dominant diagnostic tool.
Impact:
- Combined antibiotic and surgical therapy with early computer tomography yields good outcomes.
- Mortality rates are less than 2% with timely intervention.
- Postoperative morbidity exceeds 15%, indicating a need for improved management strategies.