Brain abscess natural history, complications and prognosis: Difference between revisions
Created page with "{{CMG}} {{Brain abscess}} ==Overview== ==Natural history== ==Complications== == Prognosis == Once an almost always fatal disease before the CT era. If the abscess is ..." |
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{{Brain abscess}} | {{Brain abscess}} | ||
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==Complications== | ==Complications== | ||
*Mortality is currently quoted to range from 0 – 24%. | *Mortality is currently quoted to range from 0 – 24%. | ||
:* Poor prognostic indicators include: | :* Poor prognostic indicators include: | ||
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::* Mental status and neurologic function at time of Dx: | ::* Mental status and neurologic function at time of Dx: | ||
:::* The most common sequellae is [[seizure]]s, which develop in 35 – 70% of patients. | :::* The most common sequellae is [[seizure]]s, which develop in 35 – 70% of patients. | ||
== Prognosis == | |||
Once an almost always fatal disease before the [[CT]] era. If the abscess is treated before the person goes into a [[coma]] then the death rate has been estimated from 5% to 20%. | |||
Early treatment and the patients overall health has an effect on prognosis. Other factors include: antibiotic resistance or the abscess location. An abscess deep within the brain is more difficult to treat than others. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Neurology]] | |||
[[Category:Infectious disease]] | |||
[[Category:Neurosurgery]] | |||
[[Category:Needs content]] | |||
[[Category:Needs overview]] | |||
Revision as of 20:05, 30 November 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Complications
- Mortality is currently quoted to range from 0 – 24%.
- Poor prognostic indicators include:
- Intraventricular rupture:
- 80% mortality rate, often treated with open drainage and debridement f/b ventriculostomy catheter for drainage and intrathecal abx
- Mental status and neurologic function at time of Dx:
- The most common sequellae is seizures, which develop in 35 – 70% of patients.
Prognosis
Once an almost always fatal disease before the CT era. If the abscess is treated before the person goes into a coma then the death rate has been estimated from 5% to 20%.
Early treatment and the patients overall health has an effect on prognosis. Other factors include: antibiotic resistance or the abscess location. An abscess deep within the brain is more difficult to treat than others.