Brain abscess natural history, complications and prognosis: Difference between revisions
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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: | ||
* 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 [[seizure]]s, which develop in 35 – 70% of patients. | |||
== Prognosis == | ==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%. | 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%. | ||
Revision as of 18:09, 25 February 2013
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.