Outcome of management of brain abscess in children

To find out the outcome of management of brain abscess in children. This is prospective observational study conducted in the Department of Paediatric Neurosurgery at Children's Hospital and Institute of Child Health, Multan from July 2014 to June 2017. Children up to the age of 14 years sufferi...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2020-04, Vol.36 (3), p.306-309
Main Authors: Khan, Ikram Ullah, Latif, Abdul, Ashraf, Muhammad, Chishti, Muhammad Kashif, Sadiq, Sadia
Format: Article
Language:English
Subjects:
Age groups
Antibiotics
Brain abscess
Brain surgery
Cardiovascular disease
Children
Diagnostic imaging
Ear diseases
Endocarditis
Fever
Headaches
Heart
Imipenem
Medical imaging
Metronidazole
Original
Patients
Therapeutics
Vomiting
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Summary:To find out the outcome of management of brain abscess in children. This is prospective observational study conducted in the Department of Paediatric Neurosurgery at Children's Hospital and Institute of Child Health, Multan from July 2014 to June 2017. Children up to the age of 14 years suffering from brain abscess were admitted. After taking clinical history, general and systemic physical examination and necessary investigations, abscess was evacuated and abscess wall excised after performing craniotomy. Data was collected on a predesigned performa. Results were analyzed and compared with national and international literature through statistical package for social sciences (SPSS-20). Twenty five patients up to 14 years of age were included. Seventeen (68%) were male and eight (32%) female. Fever and vomiting were present in all 25 (100%) patients. Paranasal sinusitis was predisposing causative factor in 9(36%) followed by otitis media in 7 (28%). Abscess was present in frontal lobe in 9 (36%), temporoparietal region in 8 (32%), posterior fossa in 5 (20%) and multiple abscesses in 3 (12%). Craniotomy was performed, pus evacuated and abscess wall excised in all 25 (100%) patients. Three (12%) patients expired. Incidence of brain abscess can be decreased by treatment of its predisposing causes as sinusitis and otitis media. Small abscess less than 2cm can be treated with antibiotics. Complete evacuation of pus and excision of abscess wall after performing craniotomy along with appropriate antibiotics is gold standard management of brain abscess in children.
ISSN:1682-024X
1681-715X
DOI:10.12669/pjms.36.3.1087