Ergün KARAVELİOĞLU, Abdullah AYÇİÇEK, Olcay ESER, Emre KAÇAR, Abdulkadir BUCAK, Sahin ULU

TRAVMAYA BAĞLI OLUŞAN İNTRASEREBRAL VE İNTRAORBİTAL APSENİN ENDOSKOPİK TEDAVİSİ

Beyin apsesi ciddi, yaşamı tehdit eden bir durumdur. Yaşayan hastalarda ciddi nörolojik defisitlerkalabilmektedir. Beyin abseleri sıklıkla kulak enfeksiyonları sonrasında görülmektedir. Bunundışında kafa travması (parçalı kırık, penetran yaralar), akciğer veya diğer organlardan gelenpürülan enfeksiyonlar ve kafatası osteomiyeliti sonrasında da görülebilir. Kafa travmasınıtakiben gelişen beyin apsesi sık görülmemektedir. Bu olgu sunumunda, 20 sene öncesinde ciddibeyin travmasına bağlı cerrahi müdahale öyküsü olan ve uzun yıllar boyu herhangi bir nörolojiksemptomu olmayan ancak son zamanlarda artan görme bozukluğu ve nöbet şikayetleriylehastanemize başvuran, takibinde orbital kavite ve kranial bölgede apse saptanan bir vakasunuldu

Anahtar Kelimeler:

Beyin absesi, kafa travması, endoskopik sinüs cerrahisi

Endoscopic Treatment of Intracerebral and Intraorbital Abscess due to Trauma

Brain abscess is a serious and life-threatening disease. Severe neurological deficits may remainin the survived cases. Brain absceses are often observed after ear infections. Other than this,they also occur after head trauma (with comminuted fracture, penetrating wounds), purulentmetastases of lung or other organs and skull osteomyelitis. Although brain absceses after headtrauma are rare, in this case report a patient who had a history of surgical intervention due tosevere brain trauma 20years ago, admitted with increasing visual impairment and seizureswithout any infection focus and then diagnosed with an abscess in orbital cavity and cranialregion was presented

Keywords:

Brain abscess, head trauma, endoscopic sinus surgery,

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