Unilateral hydrocephalus secondary to a brain temporal abscess treated by endoscopic septotomy: a case report

Hydrocephalus is a rare complication of brain abscess, due to either the mass effect on the ventricular system or to the rupture of the abscess in the ventricles. We report here the case of 44-year-old man who was operated on for a temporal lobe abscess of pulmonary origin who presented 6 weeks late...

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Bibliographic Details
Published in:Neuro-chirurgie 2010-08, Vol.56 (4), p.337-339
Main Authors: Fondop, J, Lagmari, M, Metellus, P, Fuentes, S, Ngah, E, Djentcheu, V, Grisoli, F, Dufour, H
Format: Article
Language:fre
Subjects:
Adult
Brain Abscess - complications
Brain Abscess - surgery
Brain Edema - etiology
Brain Edema - pathology
Cerebral Ventricles - pathology
Choroid Plexus - pathology
Contrast Media
Endoscopy - methods
Humans
Hydrocephalus - etiology
Hydrocephalus - surgery
Male
Neurosurgical Procedures - methods
Thrombophlebitis - complications
Tomography, X-Ray Computed
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Description
Summary:Hydrocephalus is a rare complication of brain abscess, due to either the mass effect on the ventricular system or to the rupture of the abscess in the ventricles. We report here the case of 44-year-old man who was operated on for a temporal lobe abscess of pulmonary origin who presented 6 weeks later with obstructive hydrocephalus secondary to a likely choroid plexus thrombophlebitis. This patient was treated successfully with an endoscopic septotomy. In light of the pertinent literature, we discuss the pathophysiological and management aspects of this unusual entity.
ISSN:1773-0619
DOI:10.1016/j.neuchi.2010.05.002