Çocukluk çağı beyin abseleri: Tek merkez deneyimi

Purpose: Childhood brain abscesses are rare but potentially life-threatening, is a condition that requires immediate diagnosis and treatment. In this study, 10 pediatric brain abscess in the clinical manifestations, predisposing factors, distribution, localization, radiological features, and is intended to offer the choice of treatment in our clinic observation about the prognosis. Material and Methods: Demographic data, complaints, signs and symptoms, predisposing factors, abscess localization, radiological findings, isolation of micro-organisms and treatment options have been examined retrospectively from the register prognosis and outcome. Results: 60% of patients complaining of fever and neurological examination, 60% varying degrees of changes in consciousness, nausea and vomiting 50%, 40% seizures have been identified. As predisposing factors otitis media-mastoiditis 3 cases, secondary to trauma abscess in 2 cases, the ventriculo-peritoneal shunt after meningitis 2 cases, pulmonary infection in 1 case, subacute bacterial endocarditis was found in 1 case was detected etiology in 1 patient. Only 1 patient medical therapy as a treatment method, 9 patients underwent surgical treatment (5 patients with excision of the capsule, 4 cases of Burr hole aspiration) were applied. The mortality rate was found to be 10%. Conclusion: Despite the increased use of antibiotics, otitis media and mastoiditis, meningitis due to trauma and ventriculo-peritoneal shunt is an important predisposing factor for brain abscess.