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[Intracerebral abscess 48 years after grenade splinter injury]
L Wegner-Kempf1, K Tornow, P Schmiedek
1Neurochirurgische Klinik, Klinikum Mannheim, Klinische Fakultät Mannheim, Universität Heidelberg.
Der Radiologe
|November 1, 1994
Summary
A rare brain abscess developed 48 years after a missile injury. Prompt surgical evacuation and antibiotics led to a full recovery without neurological deficits.
Area of Science:
- Neurosurgery
- Infectious Diseases
- Neurology
Background:
- Intracerebral abscesses are rare but serious complications of penetrating head trauma.
- Delayed presentation of abscesses decades after the initial injury is exceptionally uncommon.
Observation:
- A 54-year-old male presented with a right frontal intracerebral abscess.
- The abscess was diagnosed 48 years after sustaining a missile injury to the head.
Findings:
- Surgical evacuation of the abscess was performed.
- The patient received a course of antibiotic therapy.
Implications:
- This case highlights the potential for delayed complications from retained foreign bodies after penetrating head trauma.
- Early diagnosis and appropriate management, including surgical intervention and antibiotics, are crucial for favorable outcomes in delayed intracerebral abscesses.