Çocukluk çağı beyin abseleri: tek merkez deneyimi

Amaç: Çocukluk çağı beyin abseleri nadir görülen ancak potansiyel olarak yaşamı tehdit eden, acil teşhis ve tedavi gerektiren bir durumdur. Bu çalışmada 10 çocukluk çağı beyin absesinde klinik bulgular, predispozan faktörler, yayılma, lokalizasyon, radyolojik özellikler, tedavi seçimi ve prognoz hakkında kliniğimizin gözlemini sunmak amaçlanmıştır.
Anahtar Kelimeler:

Beyin absesi, kronik otit, menenjit

Childhood brain abscess: a single center experience

Purpose: Childhood brain abscesses are rare but potentially life-threatening, is a condition that requires immediate diagnosis and treatment. In this study, 10 pediatric brain abscess in the clinical manifestations, predisposing factors, distribution, localization, radiological features, and is intended to offer the choice of treatment in our clinic observation about the prognosis.

___

  • 1. Frazier JL, Ahn ES, Jallo GI. Management of brain abscesses in children. Neurosurg Focus. 2008;24:E8.
  • 2. Ozsürekci Y, Kara A, Cengiz AB, Celik M, Ozkaya-Parlakay A, Karadağ-Oncel E et al. Brain abscess in childhood: a 28-year experience. Turk J Pediatr. 2012;54:144-9.
  • 3. Yogev R, Bar-Meir M. Management of brain abscesses in children. Pediatr Infect Dis J. 2004;23:157-9.
  • 4. Demirören K, Gülşen İ, Ece İ, Garipardıç M, Sevgin B, Bulut MD et al. Çocuklarda intrakraniyal apse. Van Tıp Dergisi: 2015:22:67-72.
  • 5. Canpolat M, Ceylan O, Per H, Koc G, Tumturk A, Kumandas S et al.Brain abscesses in children: results of 24 children from a reference center in Central Anatolia, Turkey. J Child Neurol. 2015;30:458-67.
  • 6. Shachor-Meyouhas Y, Bar-Joseph G, Guilburd JN, Lorber A, Hadash A, Kassis I. Brain abscess in children - epidemiology, predisposing factors and management in the modern medicine era. Acta Paediatr. 2010;99:1163-7.
  • 7. Auvichayapat N, Auvichayapat P, Aungwarawong S. Brain abscess in infants and children: a retrospective study of 107 patients in northeast Thailand. J Med Assoc Thai. 2007;90:1601-7.
  • 8. Hakan T, Ceran N, Erdem I, Berkman MZ, Göktaş P. Bacterial brain abscesses: an evaluation of 96 cases. J Infect. 2006;52:359-66.
  • 9. Tsou TP, Lee PI, Lu CY, Chang LY, Huang LM, Chen JM et al. Microbiology and epidemiology of brain abscess and subdural empyema in a medical center: a 10-year experience. J Microbiol Immunol Infect. 2009;42:405-12.
  • 10. Nathoo N1, Nadvi SS, Narotam PK, van Dellen JR. Brain abscess: management and outcome analysis of a computed tomography era experience with 973 patients. World Neurosurg. 2011;75:716-26.
  • 11. Sarmast AH, Showkat HI, Bhat AR, Kirmani AR, Kachroo MY, Mir SF et al. Analysis and management of brain abscess; a ten year hospital based study. Turk Neurosurg. 2012;22:682-9.
  • 12. Gaskill SJ, Marlin AE: Brain abscesses abd encephalitis. In Principles and Practice of Pediatric Neurosurgery, 2nd Edition (Eds AL Albright, IF Pollack, PD Adelson PD):1162-81. New York, Thieme, 2008.
  • 13. Sheehan JP, Jane JA, Ray DK, Goodkin HP. Brain abscess in children. Neurosurg Focus. 2008;24:E6.
  • 14. Ciurea AV, Stoica F, Vasilescu G, Nuteanu L. Neurosurgical management of brain abscesses in children. Childs Nerv Syst. 1999;15:309-17.
  • 15. Kao KL, Wu KG, Chen CJ, Wu JJ, Tang RB, Chang KP et al. Brain abscesses in children: analysis of 20 cases presenting at a medical center. J Microbiol Immunol Infect. 2008;41:403-7.
  • 16. Radoi M, Ciubotaru V, Tataranu L. Brain abscesses: clinical experience and outcome of 52 consecutive cases. Chirurgia (Bucur). 2013;108:215-25.
  • 17. Hirsch JF, Roux FX, Sainte-Rose C, Renier D, Pierre-Kahn A. Brain abscess in childhood. a study of 34 cases treated by puncture and antibiotics. Childs Brain. 1983;10:251-65.
  • 18. Tekkök IH, Erbengi A. Management of brainabscess in children: review of 130 cases over a period of 21 years.Childs Nerv Syst. 1992;8:411-6.
  • 19. Wong TT, Lee LS, Wang HS, Shen EY, Jaw WC, Chiang CH et al. Brain abscesses in children--a cooperativestudy of 83 cases Childs Nerv Syst. 1989;5:19-24.
  • 20. De Oliveira RS, Pinho VF, Madureira JF, Machado HR. Brain abscess in a neonate: an unusual presentation.Childs Nerv Syst. 2007;23:139-42.
  • 21. Felsenstein S, Williams B, Shingadia D, Coxon L, Riordan A, Demetriades AK et al. Clinical and emicrobiologic features guiding treatment recommendations for brain abscesses in children. Pediatr Infect Dis J. 2013;32:129-35.
  • 22. Goodkin HP, Harper MB, Pomeroy SL. Intracerebral abscess in children: historical trends at Children's Hospital Boston. Pediatrics. 2004;113:1765-70.
  • 23. Landriel F, Ajler P, Hem S, Bendersky D, Goldschmidt E, Garategui L et al. Supratentorial and infratentorial brain abscesses: surgical treatment, complications and outcomes--a 10-year single-center study. Acta Neurochir (Wien). 2012;154:903-11.
  • 24. Mathisen GE, Johnson JP. Brain abscess.Clin Infect Dis. 1997;25:763-79.
  • 25. Etuş V. Çocukluk çağı beyin abseleri. In Pediatrik Nöroşirürji (Eds K Baykaner, Y Erşahin, S Mutluer, M Özek):635-51. Ankara, TND Yayınları, 2014.
  • 26. Xiao F, Tseng MY, Teng LJ, Tseng HM, Tsai JC. Brain abscess: clinical experience and analysis of prognostic factors. Surg Neurol. 2005;63:442-9.
  • 27. Joshi SM, DevkotaUP. The management of brain abscess in a developing country: are the results any different? Br J Neurosurg. 1998;12:325-8.
  • 28. Erşahin Y, Mutluer S, Güzelbağ E. Brain abscess in infants and children. Childs Nerv Syst. 1994;10:185-9.
  • 29. Ho VH, Wilson MW, Fleming JC, Haik BG. Retained intraorbital metallic foreign bodies. Ophthal Plast Reconstr Surg. 2004;20:232-6.
  • 30. Gower DJ, Horton D, Pollay M. Shunt-related brain abscess and ascending shunt infection. J Child Neurol. 1990;5:318-20.
  • 31. Miller ES, Dias PS, Uttley D. CT scanning in themanagement of intracranialabscess: a review of 100 cases.Br J Neurosurg. 1988;2:439-46.
  • 32. Lu CH, Chang WN, Lui CC. Strategies for the management of bacterial brain abscess. J Clin Neurosci. 2006;13:979-85.
  • 33. Rosenblum ML, Hoff JT, Norman D, Edwards MS, Berg BO. Nonoperative treatment of brain abscesses in selected high-risk patients. J Neurosurg. 1980;52:217-25.
  • 34. Boviatsis EJ, Kouyialis AT, Stranjalis G, Korfias S, Sakas DE. CT-guided stereotactic aspiration of brain abscesses. Neurosurg Rev. 2003;26:206-9.
  • 35. Fritsch M, Manwaring KH. Endoscopic treatment of brain abscess in children. Minim Invasive Neurosurg. 1997;40:103-6. 36. Longatti P, Perin A, Ettorre F, Fiorindi A, Baratto V. Endoscopic treatment of brain abscesses. Childs Nerv Syst. 2006;22:1447-50.
  • 37. Arlotti M, Grossi P, Pea F, Tomei G, Vullo V, De Rosa FG et al. Consensus document on controversial issues for the treatment of infections of the central nervous system: bacterial brain abscesses. Int J Infect Dis. 2010;14:79-92.
  • 38. Mampalam TJ, Rosenblum ML. Trends in the management of bacterial brain abscesses: a review of 102 cases over 17 years. Neurosurgery. 1988;23:451-8.
  • 39. Seydoux C, Francioli P. Bacterial brain abscesses: factors influencing mortality and sequelae. Clin Infect Dis. 1992;15:394-401.
  • 40. Takeshita M, Kawamata T, Izawa M, Hori T. Prodromal signs and clinical factors influencing outcome in patients with intra ventricular rupture of purulent brain abscess. Neurosurgery. 2001;48:310-6.
Cukurova Medical Journal-Cover
  • ISSN: 2602-3032
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1976
  • Yayıncı: Çukurova Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

İleri evre Freiberg hastalığında eklem dışı dorsal kapama kama osteotomisi: klinik sonuçlar

Osman Çiloğlu, Tuğhan Kalkan, Muhsin Dursun, Hakan Çiçek, Fırat Seyfettinoğlu, Ümit Tuhanioğlu

Venöz port kateter implantasyonu uygulanan hastaların retrospektif analizi

Sevgi KESİCİ, Verda TUNA, Selma ÖZKAN, Ercüment CENGİZ, Aygen TÜRKMEN

Over kanseri kliniğini taklit eden malign peritoneal mezotelyoma

Fatih AKTOZ, Elif Taşar KAPAKLI, Günel ZİYADOVA, Oğuzhan KURU, Alp USUBÜTÜN, Zafer Selçuk TUNCER

İnguinal herni cerrahisi geçiren çocuklarda ultrason kılavuzluğunda uygulanan rektus kılıf bloğu ile intravenöz tramadol'ün postoperatif ağrı üzerindeki etkilerinin karşılaştırılması

Ersel GÜLEÇ, Mediha Türktan, Zehra Hatipoğlu, Dilek Özcengiz

Akut kolesistit tedavisinde perkütan kolesistostomi: 10-yıllık tek merkez deneyimi

Müge YILDIRIM, Utku Mahir YILDIRIM, Umut ÖZYER

Bir fibro-kemik lezyonunu taklit eden desmoplastik ameloblastoma

Ananya MADİYAL, G. Subhas BABU, Vidya AJİLA, Medhini MADİ, Renita CASTELİNO, Kumuda RAO

Moyamoya hastalığında fonksiyonel iyileşme

Mehmet DURAY, Arzu GENÇ

Glukoz 6 fosfat dehidrogenaz eksikliği olan pediatrik hastada anestezi yönetimi

Sedef Gülçin URAL, Meltem Aktay İNAN

Bir üniversite hastanesinde mavi kod uygulamasının sonuçları

Özlem ÖZMETE

Arka çapraz bağdan köken alan tenosinovyal dev hücreli tümör

Selçuk YAVUZ, Mert ÇİFTDEMİR, Ebru TAŞTEKİN, Nurettin TAŞTEKİN