medigraphic.com
ISSN 1608-8921 (Print)

2011, Number 2

<< Back Next >>

Gaceta Médica Espirituana 2011; 13 (2)

Brain abscess caused by an intracranial foreign body. Presentation of a case

Perez FMM, Companioni RJF, Zulueta NL

Language: Spanish
References: 12
Page:
PDF size: 213.96 Kb.


ABSTRACT

Case presentation: We report the case of an 8 year-old girl with a history of head trauma with right parietal injury at the age of 2 years, who developed chronic sepsis, despite different treatments; she was brought to the University Hospital of Butare in Rwanda in a stupor, with a left hemiplegia and a statement of her general status. She had a CT scan of the skull in which there was an image of a brain abscess in the right hemisphere. The patient had a surgical intervention. After draining the abscess, a 7cm piece of wood was found inside the brain parenchyma. The foreign body was removed and after completing medical treatment, the patient recovered well. This case is a novelty because it is unusual for a foreign body to pass through the intracranial cavity after a mild head injury and stay there for 6 years. Conclusions: The patient progressed favorably without postoperative complications, was discharged after completing the antibiotic treatment and a significant improvement of the hemiplegia was found. Anticonvulsant therapy and physiotherapy were prescribed.


REFERENCES

  1. Rivera Fernández V, Flores Cordero J.M. Capítulo 4.1. Infecciones agudas del Sistema Nervioso Central. Absceso Cerebral. 2002.

  2. García Ruiz, Absceso cerebral otogeno. otorrinoweb.com. Disponible en: http://www.otorrinoweb.com/glosario/ar/250-112o-05-absceso-cerebral-otogeno.html

  3. Sales Llopis, J. Absceso Cerebral. Última actualización: 9/8/06 Disponible en: http://www.neurocirugia.com/static.php?page=abscesocerebral

  4. Ishikawa E, Meguro K, Yanaka K, Murakami T, Narushima K, Aoki T.etal. Intracerebellar penetrating injury an abscess due to a wooden foreign body. Neurol Med Chir ( Tokio) 2000, 40(9): 458- 62. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed?term=Ishikawa02000%2C%2040%3A%20458-%2062.

  5. Vintimilla Luis Carlos, Torrealba Gonzalo; Del Villar,Sergio, Tagle,Patricio, Mantilla irko, Monnier Eduardo, Torrico Lejandro, Villanueva Pablo. et al. Abscesos cerebrales. Tratamiento quirúrgico actual. Revista Chilena de Neurocirugía. 2003, 21: 53-8.;21:53. Disponible en: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&base=LILACS&lang=e&nextAction=lnk&isisFrom=1&count=10&exprSearch=.%20and%20Abscesos%20and%20cerebrales%20and%20CON%20and%20TRATAMIENTO%20and%20QUIRURGICO

  6. Hakan T, Ceran N, Erdem İ, Berkman MZ, Göktaş P. Bacterial brain abscesses: An evaluation of 96 cases. J Infect. 2006 May, 52(5):359-66. Disponible en: http://www.sciencedirect.com/science/article/pii/S0163445305002173

  7. Prasad KN, Mishra AM, Gupta D, Husain N, Husain M, Gupta RK. Analysis of microbial etiology and mortality in patients with brain abscess. J Infect. 2006 Oct, 53(4):221-27. Disponible en: http://www.sciencedirect.com/science/article/pii/S0163445305007437

  8. Liu WK, Ma L, Mao BY. A delayed frontorbital abscess caused by penetrating nonmissile foreign body (a bamboo stick). Neurol India. 2009 Mar-apr; 57(2):208-10. Disponible en: http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2009;volume=57;issue=2;spage=208;epage=210;aulast=Liu

  9. Hiraishi T, Tomikawa M, Kobayashi T, Kawaquchi T. Delayed brain abscess after penetrating transorbital injury. No Shinkei Geka. 2007 May;35(5):481-6.. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17491344

  10. Linares-Posse J, Tomás Carmona I, Fernandez Feijo J, Martínez-Vázquez C, Castro-Iglesias A, Diz-Dios P. Abscesos cerebrales de origen oral. Rev. Neurol. 2003 Ago, 37(3): 201-6. Disponible en: http://www.revneurol.com/sec/resumen.php?or=web&i=e&id=2003192

  11. Nishio Y, Hayashi N, Hamada H, Endo S, Harashima Y. A case of delayed brain abscess due to retained intracranial wooden foreign body: A case report and review of the last 20 years. Acta Neurochir (Wien) 2004 Aug, 146(8): 847-50. Disponible en: http://www.springerlink.com/content/bpvnddeej98f2hh0/

  12. Dadlany R, Nanita G, Naman B. Chronic brain abscess secondary to a retained wooden foreign body: Diagnostic and Management dilemmas. Indian J Pediatric 2010; 77(5) : 575-6. Disponible en: http://www.springerlink.com/content/4r71x540557j3537/




2020     |     www.medigraphic.com