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[The cerebral abscess (author's transl)].

F Scharfetter, W Sonnabend

    MMW, Munchener Medizinische Wochenschrift
    |January 11, 1980
    PubMed
    Summary
    This summary is machine-generated.

    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.

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    [Headache in neurological and neurosurgical diseases].

    Therapeutische Umschau. Revue therapeutique·1986

    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.

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    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.