INTRODUCTION: Brain abscess is a significant cause of morbidity in patients with uncorrected or partially palliated congenital cyanotic heart disease (CCHD). Unfortunately, in the developing world, the majority of the patients with CCHD remain either uncorrected or partially palliated. Furthermore, a risk of this feared complication also exists even among those undergoing staged corrective operations in the interval in between operations. There have been no recent articles in the literature on surgical outcomes of management of cardiogenic brain abscess in children.
OBJECTIVE: </strong>To describe the clinical and demographic profile of patients with cardiogenic cerebral abscess and to highlight the fact that uncorrected or palliated CCHD continue to be at risk for brain abscess.
MATERIAL AND METHODS: </strong>Retrospective analysis of 26 children (age below 19 years) being managed for CCHD who were diagnosed with cerebral abscess managed surgically (26/ 39 of cerebral abscess in children), at AIMS, Kochi, India from December 2000 to January of 2014 was done. Details of variables were retrospectively collected included demographics, modes of presentation, diagnosis, location of abscess, details of the underlying heart disease, management of the cerebral abscess and the outcome of the management.
RESULTS: Mean age for all 26 patients was 7.19 years, with a wide range of 1.5 years to 19 years. There were 16 males and 10 females. 10 of the 26 patients (38%) required reaspiration after the initial surgery. On follow up, all the patients improved symptomatically and were cured for the cerebral abscess.
CONCLUSIONS: </strong>Cardiogenic origin of cerebral abscess is the commonest cause of cerebral abscess amongst children. Unresolved cyanotic heart disease is a risk for occurrence, persistence and recurrence of cerebral abscess.
S. Udayakumaran, Onyia, C. U., and Krishnakumar, R., “Forgotten? Not yet- Cardiogenic brain abscess in children - a case series based review.”, World Neurosurg, 2017.