Brain abscess: analysis of 242 clinical cases

Objective: To study the results of surgical treatment and etiopathogenic characteristics of brain abscesses.Materials and methods: 242 cases of brain abscesses were analyzed. The age of patients ranged from 1 month to 74 years, the average age of 36,5±13,8. The ratio of male/female was 2....

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Main Authors: Yuriy Yasharov, Vitaliy Tsymbaliuk, Irina Tkachik
Format: Article
Language:English
Published: Romodanov Neurosurgery Institute 2015-12-01
Series:Ukrainian Neurosurgical Journal
Online Access:https://theunj.org/article/view/55963
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author Yuriy Yasharov
Vitaliy Tsymbaliuk
Irina Tkachik
author_facet Yuriy Yasharov
Vitaliy Tsymbaliuk
Irina Tkachik
author_sort Yuriy Yasharov
collection DOAJ
description Objective: To study the results of surgical treatment and etiopathogenic characteristics of brain abscesses.Materials and methods: 242 cases of brain abscesses were analyzed. The age of patients ranged from 1 month to 74 years, the average age of 36,5±13,8. The ratio of male/female was 2.1 to 1.Results: In the treatment of patients prevailed tactics of surgical treatment in combination with antibiotic therapy. Of the 242 patients operated on 233 (96.3%), not operated on  — 9 (3.7%). Mortality in the group of operated patients was 55.6%. Postoperative mortality is 12,4%. The following types of surgical interventions: total removal — 48.5%, drainage of abscess — 34.3%, the puncture technique “by hand” — 6.4%, neuronavigation techniques — 9%, a combined method of treatment - 3%. Bacteriological examination of the contents of the abscess were carried out at all operated patients . Height was obtained in 58 (24.9%) cases.Conclusions: To speed up the verification process of the pathogen need to use the entire range of laboratory techniques. The choice of surgical treatment must take into account the particular preferences of the neurosurgeon and operating equipment. According to our data, the most appropriate methods of surgical treatment were: stereotactic techniques and total removal of abscess.
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spelling doaj.art-dc98abeacf3a4b619bbb00c1d12616e22024-01-23T13:31:37ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922015-12-014515510.25305/unj.55963Brain abscess: analysis of 242 clinical casesYuriy Yasharov0Vitaliy Tsymbaliuk1https://orcid.org/0000-0001-7544-6603Irina Tkachik2Restorative Neurosurgery Department, Romodanov Neurosurgery Institute, Kiev, UkraineRestorative Neurosurgery Department, Romodanov Neurosurgery Institute, Kiev, UkraineBacteriologic Laboratory, Romodanov Neurosurgery Institute, Kiev, Ukraine Objective: To study the results of surgical treatment and etiopathogenic characteristics of brain abscesses.Materials and methods: 242 cases of brain abscesses were analyzed. The age of patients ranged from 1 month to 74 years, the average age of 36,5±13,8. The ratio of male/female was 2.1 to 1.Results: In the treatment of patients prevailed tactics of surgical treatment in combination with antibiotic therapy. Of the 242 patients operated on 233 (96.3%), not operated on  — 9 (3.7%). Mortality in the group of operated patients was 55.6%. Postoperative mortality is 12,4%. The following types of surgical interventions: total removal — 48.5%, drainage of abscess — 34.3%, the puncture technique “by hand” — 6.4%, neuronavigation techniques — 9%, a combined method of treatment - 3%. Bacteriological examination of the contents of the abscess were carried out at all operated patients . Height was obtained in 58 (24.9%) cases.Conclusions: To speed up the verification process of the pathogen need to use the entire range of laboratory techniques. The choice of surgical treatment must take into account the particular preferences of the neurosurgeon and operating equipment. According to our data, the most appropriate methods of surgical treatment were: stereotactic techniques and total removal of abscess.https://theunj.org/article/view/55963
spellingShingle Yuriy Yasharov
Vitaliy Tsymbaliuk
Irina Tkachik
Brain abscess: analysis of 242 clinical cases
Ukrainian Neurosurgical Journal
title Brain abscess: analysis of 242 clinical cases
title_full Brain abscess: analysis of 242 clinical cases
title_fullStr Brain abscess: analysis of 242 clinical cases
title_full_unstemmed Brain abscess: analysis of 242 clinical cases
title_short Brain abscess: analysis of 242 clinical cases
title_sort brain abscess analysis of 242 clinical cases
url https://theunj.org/article/view/55963
work_keys_str_mv AT yuriyyasharov brainabscessanalysisof242clinicalcases
AT vitaliytsymbaliuk brainabscessanalysisof242clinicalcases
AT irinatkachik brainabscessanalysisof242clinicalcases