TITLE

Transethmoidal Drainage of Frontal Brain Abscesses

AUTHOR(S)
Patron, Vincent; Orsel, Stéphane; Caire, François; Aubry, Karine; Jégoux, Franck
PUB. DATE
December 2010
SOURCE
Surgical Innovation;Dec2010, Vol. 17 Issue 4, p300
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The frontal lobe is the second most common location for brain abscess after the temporal lobe. Since the advent of computed tomography and magnetic resonance imaging scanning, diagnosis has become easier, but the prognosis of brain abscess is still poor. Treatment is based on antimicrobial therapy and neurosurgical evacuation, but controversy still remains as to the merits place of each. Methods: This study describes 2 cases of patients with frontal abscesses treated by endonasal transethmoidal sinus surgery (ESS) and reviews the literature on this topic. Results: Follow-up revealed no cerebrospinal fluid leak in both patients, complete abscess drainage in one patient, and incomplete drainage in the other. Conclusions: ESS drainage of frontal abscesses is feasible in intracerebral and epidural abscesses if they have a thick shell and are in contact with the skull base. The procedure is minimally invasive and relatively simple. It allows for rapid microbial identification and an effective drainage.
ACCESSION #
57204417

 

Related Articles

  • Giant Brain Abscess in a Neonate Managed with External Drainage. Sedain, G.; Ali, N.; Bhattachan, M.; Sharma, M. S.; Shilpakar, S. K. // Journal of Nepal Paediatric Society;Jan-Apr2013, Vol. 33 Issue 1, p55 

    Brain abscesses in neonates are extremely rare and usually occur in patients with certain risk factors. A 26 days child presented to the emergency with fever, irritability and not sucking well. CT revealed a large left frontal lobe abscess which was managed with burr hole and a drainage tube...

  • Brain abscess due to Streptococcus sanguis. Dhawan, B.; Lyngdon, V.; Mehta, V.S.; Chaudhry, R. // Neurology India;Mar2003, Vol. 51 Issue 1, p131 

    Presents a letter to the editor about brain abscess due to Streptococcus sanguis. Case of a 30-year-old man who suffered an injury in a road traffic accident; Fracture of the right frontal bone, orbital rim and ethmoid bones; Development of CSF rhinorrhoea; Performance of therapeutic lumbar...

  • Eikenella corrodens Brain Abscess after Repeated Periodontal Manipulations Cured with Imipenem and Neurosurgery. Asensi, V.; Alvarez, M.; Carton, J. A.; Lago, M.; Maradona, J. A.; Asensi, J. M.; Arribas, J. M. // Infection;Aug2002, Vol. 30 Issue 4, p240 

    Eikenella corrodens is a facultatively anaerobic gram-negative rod that colonizes the oral cavity and very rarely produces central nervous system (CNS) infections. Frontallobe abscesses are occasionally associated with a dental source of infection. We report a case of an adult man with...

  • Near-fatal subdural empyema complicating a rapidly progressive orbital cellulites. Johnston, Nicholas Robert; Ah-Chan, John Joseph; Stegehuis, Hans Robert // Journal of Emergencies, Trauma & Shock;Jul2010, Vol. 3 Issue 3, p295 

    The article reports on the significance of early diagnosis for orbital cellulitis to avoid near-fatal subdural empyema. It presents a case of a 15-year-old male with a 2-week history of headache, fever, malaise, diarrhea and vomiting in which computed tomography (CT) shows gross bilateral...

  • Retrospective analysis of 49 cases of brain abscess and review of the literature. Carpenter, J.; Stapleton, S.; Holliman, R. // European Journal of Clinical Microbiology & Infectious Diseases;Jan2007, Vol. 26 Issue 1, p1 

    The case records of 49 patients discharged from St George’s Hospital, London, between December 2000 and March 2004 with the diagnosis of brain abscess were reviewed in order to document the epidemiology, causes, treatment, and prognostic factors associated with brain abscess. Brain...

  • Vancomycin.  // Reactions Weekly;5/5/2012, Issue 1400, p39 

    The article describes the case of a 48-year-old man who developed secondary brain lesions despite treatment with intraventricular vancomycin for a ruptured frontal brain abscess and meningitis.

  • The Pott's puffy tumor: a dangerous sign for intracranial complications. Ketenci, İbrahim; Ünlü, Yaşar; Tucer, Bülent; Vural, Alperen // European Archives of Oto-Rhino-Laryngology;Dec2011, Vol. 268 Issue 12, p1755 

    The Pott's puffy tumor is a subperiosteal abscess of the frontal bone associated with osteomyelitis. The purpose of this article is to alert the physician to the severe complications of this entity. The records of six patients were reviewed retrospectively. There were four adults and two...

  • Brain Abscess Associated with Isolated Left Superior Vena Cava Draining into the Left Atrium in the Absence of Coronary Sinus and Atrial Septal Defect. Erol, Ilknur; Cetin, I.; Alehan, Füsun; Varan, Birgül; Ozkan, Süleyman; Agildere, A. Muhtesem; Tokel, Kursad // CardioVascular & Interventional Radiology;May/Jun2006, Vol. 29 Issue 3, p454 

    A previously healthy 12-year-old girl presented with severe headache for 2 weeks. On physical examination, there was finger clubbing without apparent cyanosis. Neurological examination revealed only papiledema without focal neurologic signs. Cerebral magnetic resonance imaging showed the...

  • Primary Intracranial Abscess localized in the Basal Ganglia: A Case Report. Kilic, Omer; Kafadar, Ali; Camcioglu, Yildiz; Akcakaya, Necla; Cokugras, Haluk; Hasiloglu, Zehra Isik // Journal of Tropical Pediatrics;Feb2012, Vol. 58 Issue 1, p71 

    Brain abscesses are serious infections that cause neurological problems and generally require antibiotic treatment and surgical drainage. Hematogenous brain abscesses are generally located in the region fed by the middle cerebral artery, but are occasionally found in deep tissues, such as the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics