Brain abscess natural history, complications and prognosis: Difference between revisions
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Common complications include: <ref name="pmid25075836">{{cite journal| author=Brouwer MC, Tunkel AR, McKhann GM, van de Beek D| title=Brain abscess. | journal=N Engl J Med | year= 2014 | volume= 371 | issue= 5 | pages= 447-56 | pmid=25075836 | doi=10.1056/NEJMra1301635 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25075836 }} </ref> | Common complications include: <ref name="pmid25075836">{{cite journal| author=Brouwer MC, Tunkel AR, McKhann GM, van de Beek D| title=Brain abscess. | journal=N Engl J Med | year= 2014 | volume= 371 | issue= 5 | pages= 447-56 | pmid=25075836 | doi=10.1056/NEJMra1301635 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25075836 }} </ref> | ||
* [[Abscess]] rupture | * [[Abscess]] rupture | ||
* [[Hydrocephalus]] | * [[Hydrocephalus]] | ||
* [[Brain herniation]] | * [[Brain herniation]] | ||
==Prognosis== | ==Prognosis== | ||
Revision as of 19:59, 2 October 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Natural History
If left untreated, a brain abscess is almost always deadly. Early detection and treatment is preferential. After surgery, some patients can experience long-term neurological problems.[1]
Complications
Common complications include: [2]
- Abscess rupture
- Hydrocephalus
- Brain herniation
Prognosis
With treatment, the death rate is about 10-30%. While the mortality rate was 40% in 1960, it has dropped down to 15% within the past decade alone. 70% of patients with brain abscesses have a good outcome, rarely with minimal neurological sequelae. [2]
References
- ↑ Nath A. Brain abscess and parameningeal infections. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 438.
- ↑ 2.0 2.1 Brouwer MC, Tunkel AR, McKhann GM, van de Beek D (2014). "Brain abscess". N Engl J Med. 371 (5): 447–56. doi:10.1056/NEJMra1301635. PMID 25075836.