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Publication Type : Journal Article
Thematic Areas : Medical Sciences
Publisher : World Neurosurg
Source : World Neurosurg, Volume 107, p.124-129 (2017)
Keywords : adolescent, brain abscess, child, Child, Preschool, Follow-Up Studies, Heart Defects, Congenital, Humans, infant, Magnetic Resonance Imaging, Retrospective Studies, Young Adult
Campus : Kochi
School : School of Medicine
Department : Neurosurgery
Year : 2017
Abstract : BACKGROUND: 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 patients with CCHD remain either uncorrected or only 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 the outcomes of surgical management of cardiogenic brain abscess in children. In this study, we aimed 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. downloadThis study was a retrospective analysis of 26 children (age <19 years) being managed for CCHD who were diagnosed with cerebral abscess managed surgically (26 of 39 of cases cerebral abscess in children), at Amrita Institute of Medical Sciences and Research Centre, Kochi, India between December 2000 and January 2014. Data collected retrospectively included demographic information, modes of presentation, diagnosis, location of abscess, details of the underlying heart disease, management of the cerebral abscess, and outcomes of management.
RESULTS: The patient cohort comprised 26 patients (16 males and 10 females), with a mean age of 7.19 years (range, 1.5-19 years). Ten of the 26 patients (38%) required reaspiration after the initial surgery. On follow-up, all the patients had improved symptomatically and demonstrated no signs of cerebral abscess.
Cite this Research Publication : Suhas Udayakumaran, Onyia, C. U., and R Kumar, K., “Forgotten? Not Yet. Cardiogenic Brain Abscess in Children: A Case Series-Based Review.”, World Neurosurg, vol. 107, pp. 124-129, 2017.