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Academia Mexicana de Neurología, A.C.

2010, Number 1

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Rev Mex Neuroci 2010; 11 (1)

Brain Abscess

Molina DGA, Armijo YE, Mimenza AA

Language: Spanish
References: 64
Page: 63-70
PDF size: 238.65 Kb.


ABSTRACT

The cerebral abscess defines how the purulent infection of the focal type on cerebral parenchyma, is secondary to the dissemination of a distant infectious source, the formation of the abscess is a complex process that will depend on the immune response of the host, which will limit or spread the infection within the central nervous system. The variants in the clinical presentation of the cerebral abscess determine a delay in the diagnosis since the classic triad of migraine, fever and focal shortage only appears in less than 50% of the cases. The studies of conventional imaging have revolutionized the timely diagnosis of the injury, nevertheless these techniques have failed to distinguish the abscess from other intracranial injuries rising the number of false positives. The advent of imaging techniques such as the spectroscopy and the diffusion magnetic resonance have increased the diagnostic specificity. The advances in the surgical and medical procedures have diminished the mortality and after effects of this illness. There are no current international guides for the prognosis and treatment of the cerebral abscess. There have not been documented in contemporary literature one meta-analysis or prospective studies, with enough statistical power, to be able to establish a global consensus in the management of this patients.


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