Brain abscess natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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]

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.

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[1] Nath A. Brain abscess and parameningeal infections. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 438.

[pmid25075836-2] 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.

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