Treatment by aspiration of brain abscesses
Sixteen patients, with a total of 18 abscesses, were treated by aspiration and systemic antibiotic therapy, to which antiepileptic prophylaxis and corticosteroids were added. Diagnosis of the abscesses and monitoring of their evolution relied principally upon computed tomography; this technique was...
Gespeichert in:
| Veröffentlicht in: | Acta neurochirurgica 1987-01, Vol.85 (3-4), p.138-147 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 147 |
|---|---|
| container_issue | 3-4 |
| container_start_page | 138 |
| container_title | Acta neurochirurgica |
| container_volume | 85 |
| creator | STROOBANDT, G ZECH, F THAUVOY, C MATHURIN, P DE NIJS, C GILLIARD, C |
| description | Sixteen patients, with a total of 18 abscesses, were treated by aspiration and systemic antibiotic therapy, to which antiepileptic prophylaxis and corticosteroids were added. Diagnosis of the abscesses and monitoring of their evolution relied principally upon computed tomography; this technique was also used per-operatively when aspirating small abscesses. Bacteriological examinations were positive in all our cases and a polymicrobial flora was found in half of these. One or, eventually, two aspirations within the same week were sufficient, in most cases, to promote healing. Nevertheless, in three patients, the abscesses, however sterilized, did not show any volume reduction, probably because of adhesions to the dura mater, of a large part of the abscess surface area. One patient died from concomitant cardiac disease and one patient remained seriously disabled. Epilepsy was observed as a sequela, in six patients. This study emphasizes the role of neuroradiological and bacteriological examinations, whilst surgery may be restricted, in most cases, to a simple aspiration. |
| doi_str_mv | 10.1007/BF01456110 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77564089</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>77564089</sourcerecordid><originalsourceid>FETCH-LOGICAL-c311t-f44397a679d1a510bb885c4e46b626bd48965ec7a05a03f1534d3b60037e915e3</originalsourceid><addsrcrecordid>eNpFkEtLw0AUhQdRaq1u3AtZiItC9N7MK7PUYlUouKnrcCeZQCSPOpMu-u8daaib--B8HA6HsVuERwTQTy9rQCEVIpyxORiRpXHAebwBMFWZyi_ZVQjf8cu04DM249Kg0HLOllvvaOxcPyb2kFDYNZ7GZuiToU6sp6ZPyIbSheDCNbuoqQ3uZtoL9rV-3a7e083n28fqeZOWHHFMayG40aS0qZAkgrV5LkvhhLIxia1EbpR0pSaQBLxGyUXFrQLg2hmUji_Yw9F354efvQtj0TUxQttS74Z9KLSWSkBuIrg8gqUfQvCuLna-6cgfCoTir5jiv5gI302ue9u56oROTUT9ftIplNTWnvqyCScsz7gRSvJfXDZncw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77564089</pqid></control><display><type>article</type><title>Treatment by aspiration of brain abscesses</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>STROOBANDT, G ; ZECH, F ; THAUVOY, C ; MATHURIN, P ; DE NIJS, C ; GILLIARD, C</creator><creatorcontrib>STROOBANDT, G ; ZECH, F ; THAUVOY, C ; MATHURIN, P ; DE NIJS, C ; GILLIARD, C</creatorcontrib><description>Sixteen patients, with a total of 18 abscesses, were treated by aspiration and systemic antibiotic therapy, to which antiepileptic prophylaxis and corticosteroids were added. Diagnosis of the abscesses and monitoring of their evolution relied principally upon computed tomography; this technique was also used per-operatively when aspirating small abscesses. Bacteriological examinations were positive in all our cases and a polymicrobial flora was found in half of these. One or, eventually, two aspirations within the same week were sufficient, in most cases, to promote healing. Nevertheless, in three patients, the abscesses, however sterilized, did not show any volume reduction, probably because of adhesions to the dura mater, of a large part of the abscess surface area. One patient died from concomitant cardiac disease and one patient remained seriously disabled. Epilepsy was observed as a sequela, in six patients. This study emphasizes the role of neuroradiological and bacteriological examinations, whilst surgery may be restricted, in most cases, to a simple aspiration.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/BF01456110</identifier><identifier>PMID: 3591475</identifier><identifier>CODEN: ACNUA5</identifier><language>eng</language><publisher>Wien: Springer</publisher><subject>Adolescent ; Adrenal Cortex Hormones - administration & dosage ; Adult ; Aged ; Anti-Bacterial Agents - administration & dosage ; Anticonvulsants - administration & dosage ; Bacterial diseases ; Bacterial diseases of the nervous system. Bacterial myositis ; Biological and medical sciences ; Brain Abscess - drug therapy ; Brain Abscess - surgery ; Child ; Child, Preschool ; Combined Modality Therapy ; Female ; Human bacterial diseases ; Humans ; Infant ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Suction</subject><ispartof>Acta neurochirurgica, 1987-01, Vol.85 (3-4), p.138-147</ispartof><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-f44397a679d1a510bb885c4e46b626bd48965ec7a05a03f1534d3b60037e915e3</citedby><cites>FETCH-LOGICAL-c311t-f44397a679d1a510bb885c4e46b626bd48965ec7a05a03f1534d3b60037e915e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23910,23911,25119,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8239465$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3591475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STROOBANDT, G</creatorcontrib><creatorcontrib>ZECH, F</creatorcontrib><creatorcontrib>THAUVOY, C</creatorcontrib><creatorcontrib>MATHURIN, P</creatorcontrib><creatorcontrib>DE NIJS, C</creatorcontrib><creatorcontrib>GILLIARD, C</creatorcontrib><title>Treatment by aspiration of brain abscesses</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><description>Sixteen patients, with a total of 18 abscesses, were treated by aspiration and systemic antibiotic therapy, to which antiepileptic prophylaxis and corticosteroids were added. Diagnosis of the abscesses and monitoring of their evolution relied principally upon computed tomography; this technique was also used per-operatively when aspirating small abscesses. Bacteriological examinations were positive in all our cases and a polymicrobial flora was found in half of these. One or, eventually, two aspirations within the same week were sufficient, in most cases, to promote healing. Nevertheless, in three patients, the abscesses, however sterilized, did not show any volume reduction, probably because of adhesions to the dura mater, of a large part of the abscess surface area. One patient died from concomitant cardiac disease and one patient remained seriously disabled. Epilepsy was observed as a sequela, in six patients. This study emphasizes the role of neuroradiological and bacteriological examinations, whilst surgery may be restricted, in most cases, to a simple aspiration.</description><subject>Adolescent</subject><subject>Adrenal Cortex Hormones - administration & dosage</subject><subject>Adult</subject><subject>Aged</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Anticonvulsants - administration & dosage</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the nervous system. Bacterial myositis</subject><subject>Biological and medical sciences</subject><subject>Brain Abscess - drug therapy</subject><subject>Brain Abscess - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Combined Modality Therapy</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Suction</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEtLw0AUhQdRaq1u3AtZiItC9N7MK7PUYlUouKnrcCeZQCSPOpMu-u8daaib--B8HA6HsVuERwTQTy9rQCEVIpyxORiRpXHAebwBMFWZyi_ZVQjf8cu04DM249Kg0HLOllvvaOxcPyb2kFDYNZ7GZuiToU6sp6ZPyIbSheDCNbuoqQ3uZtoL9rV-3a7e083n28fqeZOWHHFMayG40aS0qZAkgrV5LkvhhLIxia1EbpR0pSaQBLxGyUXFrQLg2hmUji_Yw9F354efvQtj0TUxQttS74Z9KLSWSkBuIrg8gqUfQvCuLna-6cgfCoTir5jiv5gI302ue9u56oROTUT9ftIplNTWnvqyCScsz7gRSvJfXDZncw</recordid><startdate>19870101</startdate><enddate>19870101</enddate><creator>STROOBANDT, G</creator><creator>ZECH, F</creator><creator>THAUVOY, C</creator><creator>MATHURIN, P</creator><creator>DE NIJS, C</creator><creator>GILLIARD, C</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19870101</creationdate><title>Treatment by aspiration of brain abscesses</title><author>STROOBANDT, G ; ZECH, F ; THAUVOY, C ; MATHURIN, P ; DE NIJS, C ; GILLIARD, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-f44397a679d1a510bb885c4e46b626bd48965ec7a05a03f1534d3b60037e915e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adolescent</topic><topic>Adrenal Cortex Hormones - administration & dosage</topic><topic>Adult</topic><topic>Aged</topic><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Anticonvulsants - administration & dosage</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the nervous system. Bacterial myositis</topic><topic>Biological and medical sciences</topic><topic>Brain Abscess - drug therapy</topic><topic>Brain Abscess - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Combined Modality Therapy</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Suction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STROOBANDT, G</creatorcontrib><creatorcontrib>ZECH, F</creatorcontrib><creatorcontrib>THAUVOY, C</creatorcontrib><creatorcontrib>MATHURIN, P</creatorcontrib><creatorcontrib>DE NIJS, C</creatorcontrib><creatorcontrib>GILLIARD, C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>STROOBANDT, G</au><au>ZECH, F</au><au>THAUVOY, C</au><au>MATHURIN, P</au><au>DE NIJS, C</au><au>GILLIARD, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment by aspiration of brain abscesses</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>1987-01-01</date><risdate>1987</risdate><volume>85</volume><issue>3-4</issue><spage>138</spage><epage>147</epage><pages>138-147</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><coden>ACNUA5</coden><abstract>Sixteen patients, with a total of 18 abscesses, were treated by aspiration and systemic antibiotic therapy, to which antiepileptic prophylaxis and corticosteroids were added. Diagnosis of the abscesses and monitoring of their evolution relied principally upon computed tomography; this technique was also used per-operatively when aspirating small abscesses. Bacteriological examinations were positive in all our cases and a polymicrobial flora was found in half of these. One or, eventually, two aspirations within the same week were sufficient, in most cases, to promote healing. Nevertheless, in three patients, the abscesses, however sterilized, did not show any volume reduction, probably because of adhesions to the dura mater, of a large part of the abscess surface area. One patient died from concomitant cardiac disease and one patient remained seriously disabled. Epilepsy was observed as a sequela, in six patients. This study emphasizes the role of neuroradiological and bacteriological examinations, whilst surgery may be restricted, in most cases, to a simple aspiration.</abstract><cop>Wien</cop><cop>New York, NY</cop><pub>Springer</pub><pmid>3591475</pmid><doi>10.1007/BF01456110</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0001-6268 |
| ispartof | Acta neurochirurgica, 1987-01, Vol.85 (3-4), p.138-147 |
| issn | 0001-6268 0942-0940 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77564089 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adrenal Cortex Hormones - administration & dosage Adult Aged Anti-Bacterial Agents - administration & dosage Anticonvulsants - administration & dosage Bacterial diseases Bacterial diseases of the nervous system. Bacterial myositis Biological and medical sciences Brain Abscess - drug therapy Brain Abscess - surgery Child Child, Preschool Combined Modality Therapy Female Human bacterial diseases Humans Infant Infectious diseases Male Medical sciences Middle Aged Suction |
| title | Treatment by aspiration of brain abscesses |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T13%3A57%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20by%20aspiration%20of%20brain%20abscesses&rft.jtitle=Acta%20neurochirurgica&rft.au=STROOBANDT,%20G&rft.date=1987-01-01&rft.volume=85&rft.issue=3-4&rft.spage=138&rft.epage=147&rft.pages=138-147&rft.issn=0001-6268&rft.eissn=0942-0940&rft.coden=ACNUA5&rft_id=info:doi/10.1007/BF01456110&rft_dat=%3Cproquest_cross%3E77564089%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=77564089&rft_id=info:pmid/3591475&rfr_iscdi=true |