This study introduced the clinical and paraclinical features and outcome of treatment of 3 cases of brain abscess rupturing into the ventricle in the nervous surgical department of Vietduc Hospital during 1994-2001 and reviewed the medical literature during 1950-2001. The brain abscess rupturing into the ventricle was very severe complication with the mortality rate much higher than this of brain abscess without rupturing into the ventricle (morbidity rate: 60 -100%). In order to reduce the mortality rate it should early diagnose and treat basing on the clinical signs such as rapid worsened perception, sudden happened, new meningeal signs.
Brain Abscess ; Rupture ; Cerebral Ventricles

A brain abscess developing at the site of a preceding intracerebral hemorrhage is a rare finding. We report here on a rare case of a brain abscess that developed at the site of an intracerebral hemorrhage after a systemic infection.
Brain ; Brain Abscess ; Cerebral Hemorrhage

We had experienced a case of hematogenous brain abscess which occurred at the site of spontaneous intracerebral hemorrhage. The 41-year-old patient was admitted with sponetaneous intracerebral hemorrhage on left basal ganglia and sepsis. Brain abscess was incidentally detected by stereotactic aspiration of intracerebral hemorrhage, followed by the gram staining and culture of aspirated material.
Adult ; Basal Ganglia ; Brain Abscess* ; Brain* ; Cerebral Hemorrhage* ; Humans ; Sepsis

Thirty-four patients with various intracranial lesions underwent the stereotatic surgery using the Pelorus system, which consists of integrated skull set, phantom and Arc adaptor, between September, 1987 and October, 1988.10 of 12 biopsies(83%) were diagnosed as 4 metastatic tumors, 3 glioblastoma multiforme, 1 cerebral infarction and 1 calcification. Fifteen patients with the spontaneous intracerebral hematoma and 2 with the abscess were treated successfully. Two patients with the malignant tumors underwent the stereotatic isotope implantation with I125. Only one case of transient hemiparesis among 34 procedures developed. From the results, the use of a simple interlocking plate system, rather than a bulky frame produce benifits evident during application with capabilities and accuracy of most other stereotactic system. It has offered the advantages of stereotaxis to a currently possible wide range of patients, which it can be used to diagnose and treat.
Abscess ; Cerebral Infarction ; Glioblastoma ; Hematoma ; Humans ; Paresis ; Skull

A 2-year-old boy with underlying congenital cyanotic heart disease presented with seizures and fever and was found to have bilateral parietal cerebral abscesses. Drainage of the pus from the abscesses was done in stages; on the day of admission, four days after admission and 3 weeks after admission. Although the pus from the first drainage did not grow any organisms, the pus from the second drainage on the fourth day of admission yielded a mixed growth of Eikenella corrodens and Streptococcus milleri. Following the second drainage of pus, the child was noted to have mild weakness (grade 3/5) and increased tone in the left upper limb. Three weeks after admission, due to recurring fever, further neurological signs and findings of an enlarging right cerebral abscess on a repeat CT scan, a third drainage was carried out. However no growth was obtained from this specimen. This patient was managed both surgically and with appropriate antibiotics. Over the next four months, serial CT scans revealed gradual resolution of the abscesses with disappearance of the surrounding oedema. The child showed gradual recovery of his left sided weakness with resolution of tone and reflexes to normal.
Discharge, Body Substance ; Eikenella corrodens ; week ; Cerebral Abscess ; growth aspects

Eight patients, with brain abscess or localized cerebritis proved histologically, were seen at The National Medical Center from 1971 to 1972, and 3 died, which is 37.5% mortality. Evidence of infection was often minimal in patients with brain abscess. The presence of increased erythrocyte sedimentation rate, highly suggestive of a cerebral abscess when an intracranial space-occupying lesion is suspected. The cerebral angiography and EEG were the best diagnostic tests. Early accurate diagnosis and early intracranial relieving with surgical procedure were most important factor in management of brain abscess. Primary excision of the abscess was considered to be the most satisfactory therapy.
Abscess ; Blood Sedimentation ; Brain Abscess* ; Brain* ; Cerebral Angiography ; Diagnosis ; Diagnostic Tests, Routine ; Electroencephalography ; Humans ; Mortality

Brain abscess following ischemic stroke is a very rare and dangerous condition that can have catastrophic results, and thus requires urgent and comprehensive evaluation. We report a case of a patient with brain abscess that developed at the lesion site of a previous cerebral infarction. The disruption of the blood-brain barrier in the infarcted lesion might facilitate abscess formation, making it a preferred target for infectious agents.
Abscess ; Blood-Brain Barrier ; Brain ; Brain Abscess ; Brain Infarction ; Cerebral Infarction ; Humans ; Stroke

Despite the advent of new antimicrobial drugs and mordern imaging techniques, mortality and morbidity of bacterial meningitis remain high. The unfavorable clinical outcomes are due to intracranial complications such as cerebrovascular complications, hydrocephalus, cerebral edema, intracerebral hemorrhage, brain abscess, and convulsion. Prompt identification and treatment of each are essential to mininize unfavorable outcomes. We report two cases of cerebral infarctions complicated by Streptococcus pneumoniae meningitis with a brief review of related literatures.
Brain Abscess ; Brain Edema ; Cerebral Hemorrhage ; Cerebral Infarction* ; Hydrocephalus ; Meningitis, Bacterial ; Meningitis, Pneumococcal* ; Mortality ; Seizures ; Streptococcus pneumoniae* ; Streptococcus* ; Thrombosis

The laser is a new surgical modality that utilizes high intensity beams radiant energy to vaporize of coagulate tissue. Radiant energy is generated by stimulated emission of photons resulting in a unidirectional monochromatic beam that is temporary coherent small diameter beams of great power density are achievable by this means. The author reviewed 24 months experience with a CO2 laser involving neurosurgical operations to 45 neurosurgical lesion, i, e. brain tumor 25, intracerebral hemorrhage 15, cerebral paragonimiasis 1, cysticercosis 1, brain abscess 1, and arteriovenous malformation of brain 1 and spine 1 were removed with the use of Shaplan CO2 laser since 1981. We have conclude that there had been a significant reduction in blood loss and neurological morbidity though it was readily conceded that the number of operations were relatively small. The particular advantages of the combination of CO2 laser and microscope were felt to be precision reduction of mechanical trauma good hemostasis and low cost. Especially the blood loss and replacement during operation have been reduced.
Arteriovenous Malformations ; Brain ; Brain Abscess ; Brain Neoplasms ; Cerebral Hemorrhage ; Cysticercosis ; Hemostasis ; Lasers, Gas* ; Paragonimiasis ; Photons ; Spine

We present a unique case of a brain abscess that occurred secondary to a ganglionic hemorrhage in a 64-year-old man. This abscess appeared to be metastatic after septicemia. Aspiration with antibiotics eliminated this infection.
Basal Ganglia Diseases/*complications ; Brain Abscess/*etiology ; Case Report ; Cerebral Hemorrhage/*complications ; Human ; Male ; Middle Age