A retrospective study was carried out on 120 patients with brain abscess treated at Cho Ray Hospital from Oct 2000 to Feb 2003. 91% patients were hospitalized on emergency. The patients were diagnosed easily and quickly brain abscess by CT. 80 patients (70.8%) underwent emergency surgeries and the commonest applied technique (73.3%) was punction and pus drainage. Antibiotic were indicated suitably for patients, corticoids were prescribed for 31.6% patients with severe brain edema, antiepileptic drugs were given for patients with convulsions. Twelve patients (10%) died because of too late hospitalizations with general complications and/or brain hernia. Patients with brain abscess were commonly arrived late; the majority of them were admitted on emergency. Although having CT for accurate diagnosis and surgery and new antibiotic generations, the mortality rate is still high
Brain Abscess ; Therapeutics ; Surgery

An analysis of 26 patients with brain abscesses treated by abscess ablation has shown that the morbidity rate, complications, relapsed brain abscess, repeated surgery and duration of antibiotic using. The bacteria were isolated in 42% of samples. The abscess ablation was indicated for cases of brain abscess with foreign bodies, brain abscess occurred after cerebrocranial surgery or cerebrocranial injuries. The needle aspiration indicated for cases of brain multiabscess, patients with thalamic perception impairment received needle aspiration in the first stage and abscess ablation in the second stage.
Brain Abscess ; Therapeutics ; Surgery

Cranioplasty was proposed by Falloppio and later by Pare in 1634. During the last century, in particular, there has been a marked increase in the use of alloplastic materials for cranioplasty comprising a wide variety of materials: tantalium, titanium, acrylic, polyethylene, silicone and ceramics. The authors assess the efficacy of cranioplasty with carbon composite” intost-2” for cranial defect post brain injury was realized in the Department of neurosurgery of Saint-Paul hospital. Methods: from 10/1997 to 11/2004 , 124 patients skull defect after operation of traumatic brain injury underwent cranioplasty with carbon composite “intost-2”. there were 103 males (82.33%) and 23 females (17.66%) whose average age was 27 years (rang 5 to 55 years). 74 patients (51.61%) had an operation for acute subdural hematoma with or with out brain contusion and penetrating brain injury. One hundred one patient (81.45%) had large defect (>5cm) while 27 patients (21.77%) had very large defect (>8cm). Results: the operation successful rate was 98.39% (122/124). there were two infections because of cutaneous necrosis need secondary cranioplasty. Conclusion: The cranioplasty with carbon composite “intost-2” had good result in spite of large defect.
Brain Injuries ; Surgery

Report one case of a 52 years old male patient who lived in Vinh Long province, admitted at January 27th 2005. Patient was treated first aid at Vinh Long Hospital, and then he was operated at the Department of Neurosurgery of People’s Hospital No 115. CT scan found large supratentorial infarction accounted for 3/4 of right hemisphere area that adequate with the supplying blood area of media cerebral artery, and imagine of temporal lobe herniation , subfalcial herniation. Patient was intensively treated by anti-cerebral edema and was conducted hematological tests. Then he was indicated decompressive surgery. Results of CT scan after 24 hours after operation showed that the middle line was regained more, brain delivered cerebral notch. One week after operation, patient was conscious, GCS=15, left hemiplegia, muscle power=2/5. Patient discharged after 10 days with GOS=4, and was intended treating by auto-grafting after 3 months
Brain Infarction ; Surgery ; Therapeutics

Brain ; Epilepsy/surgery* ; Humans

The demand for acquiring different languages has increased with increasing globalization. However, knowledge of the modification of the new language in the neural language network remains insufficient. Although many details of language function have been detected based on the awake intra-operative mapping results, the language neural network of the bilingual or multilingual remains unclear, which raises difficulties in clinical practice to preserve patients' full language ability in neurosurgery. In this review, we present a summary of the current findings regarding the structure of the language network and its evolution as the number of acquired languages increased in glioma patients. We then discuss a new insight into the awake intra-operative mapping protocol to reduce surgical risks during the preservation of language function in multilingual patients with glioma.
Brain Mapping ; Brain Neoplasms/surgery* ; Glioma/surgery* ; Humans ; Language ; Multilingualism

In 6 years period (1993-1998) 243 cases of brain tumor in children have been operated at the Dep. of Neurosurgery of Hanoi Saint-Paul hospital. The author presents a study of localisation and anato pathology of tumors, methods of treatment and operative results.
Brain Neoplasms ; therapeutics ; surgery ; child

63 patients (male: 45, ages of 9-72) with the superior longitudinal paravenous sinus meningioma operated for removal of tumor and received the postoperative CT scanner and pathological anatomy for checking. Patients with meningioma, which invaded into the lumen of venous sinus but did not obstruct the vein, operated to nearly remove the tumor and excluded the invaded tumor into the venous lumen. Patients with meningioma that invaded into and obstructed the venous lumen received the second operation for legation of sinus and complete removal of the meningioma and obstructed venous sinus. These methods can exclude the disease for a long-time
Meningioma ; Brain Neoplasms ; diagnosis ; surgery

During 3 years, more 400 cases of the brain diseases in children have been operated at the department of neurosurgery of Hanoi Sain - Paul hospital. Among of them, only 16 cases of meningocele and meningoencephalocele who were congenital malformations of neurology with age of 2 days- 16 month of age. The author have presented the clinical and paraclinical manifestations, the indication, and the method of choice for the treatment, and the use of modified technique in the operation. For good results of postoperation, the diagnosis and treatment must be made early in the first days of life of children. Results: among of 16 cases: good 15, death: 1
Brain Diseases ; abnormalities ; therapeutics ; surgery

Brain Neoplasms ; Humans ; Teratoma ; surgery