Abstract
Backgound and objectives: Until recently brain Abscess was a lesion that was
diagnosed only after autopsy, but development in neurosurgery decreased the incidence of mortality and morbidity. In this study we attempted to compare the result of different surgical technique and follow up patients after surgery.
Materials and Methods: In a prospective study between 2001-2003, 27 patients with brain abscess went under clinical and paraclinical examination and then went under operation with aspiration or excisional technique and their data registed and analyzed.
Results: In this study 27 cases of brain abscess were reviewed with dominancy in male (male/female ratio: 2.2/1). Most of patients with brain Abscess were under 30 years old. The most predisposing factors were chronic otitis media (COM) and cyanotic heart disease (29.6% and 22.1%) Most of abscess secondary to COM located in cerebellum (P<0/005) and abscess secondary to sinusitis of frontal sinus localized in frontal lobe (P<0/005). After operation all cases received antibiotic therapy for 6-8 weeks, and in follow up with serial CT Scan most of them had normal CT scan after 3 month.
Conclusion: In the differentional diagnosis of all patients with signs and symptoms of increased intracranial pressure we should remember brain abscess and with appropriate treatment would have good result.