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Multiple brain abscesses following esophageal dilation

Y Erşahin1, S Mutluer, Y Cakir

  • 1Department of Neurosurgery, Ege University Medical School, Izmir, Turkey.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|June 1, 1995
PubMed
Summary

A rare case of brain abscesses occurred in a child after esophageal dilation for caustic stricture. Prompt treatment led to a full recovery, highlighting a potential complication of this procedure.

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Area of Science:

  • Pediatric Gastroenterology
  • Pediatric Neurology
  • Infectious Diseases

Background:

  • Esophageal strictures in children can result from caustic ingestion.
  • Esophageal dilation is a common treatment for strictures.
  • Complications, though rare, require careful consideration.

Observation:

  • A 6-year-old boy with a history of caustic ingestion developed an esophageal stricture.
  • The patient underwent multiple esophageal dilations and a gastrostomy.
  • Following the procedure, the patient presented with neurological symptoms including seizures and somnolence.

Findings:

  • Computed tomography revealed multiple brain abscesses in the patient.
  • The brain abscesses were successfully treated with burr-hole drainage.

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  • The patient experienced a complete neurological recovery without deficits.

    • Implications:

    • Brain abscesses are an uncommon but serious potential complication of esophageal dilation.
    • Clinicians should maintain a high index of suspicion for neurological complications after esophageal dilation.
    • Early diagnosis and intervention are crucial for favorable outcomes in pediatric brain abscess cases.