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Brain Abscess

Clinic. An abscess of the brain is a limited abscess in the brain tissue - intracerebral, or epidural, subdural. It is caused by streptococci, staphylococci, pneumococci, etc. Contact (otogenically determined), metastatic (pneumonia, lung abscess), bronchiectatic abscesses and abscesses occurring during open craniocerebral injuries are distinguished pathogenetically.

The initial period of the disease proceeds as with focal meningoencephalitis with the subsequent formation of a capsule, which, when loosened, causes exacerbation of perifocal encephalitis. In the case of the formation of a dense capsule, the abscess takes a chronic course, giving a picture of a pseudo-tumor.

In the clinic of the abscess, general infection symptoms (intermittent hyperthermia, chills, increased ESR, leukocytosis in the blood, pallor, general weakness, weight loss), cerebral (headache, vomiting, congestive optic nerves, bradycardia, mental disorders), focal symptoms depending on localization of the abscess. Hypertensive and meningeal symptoms are observed.
In the cerebrospinal fluid, lymphocytic-neutrophilic pleocytosis, an increase in the protein content (0.75-3 g / l) and its pressure are detected. Emergency conditions for brain abscesses may occur when an abscess breaks into the lateral ventricles with the development of a clinical picture of acute ven-triculitis (severe headache, vomiting, facial hyperemia, tachycardia, tachypnea, hyperhidrosis, psychomotor agitation, pronounced shell syndrome, clonic -tonic convulsions, high leukocytosis in the blood). The remitting course of brain abscesses is manifested by cerebral symptoms, low-grade fever, convulsive seizures, vomiting, an increase in focal neurological symptoms, leukocytosis, and an increase in ESR.

A chronic, pinched brain abscess proceeds like a tumor with its inherent signs.

Giving help. Surgical treatment: opening the cavity of the abscess and its drainage; repeated punctures with suction of pus; total removal of it along with the capsule. High doses of antibiotics are prescribed (after analysis of microflora isolated from the abscess), symptomatic therapy is carried out.
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Brain Abscess

  1. Brain Abscess
    A brain abscess is a capsule-limited accumulation of brain detritus, white blood cells, pus, and bacteria. The main causative agents The etiological cause of brain abscess can be bacteria, fungi, protozoa and helminths. Of the bacterial pathogens, the most common are vermin streptococci (S. anginosus, S. constellatus and S. intermedius), which occur in 70% of cases. IN
  2. Causes of the development of brain abscess
    An abscess of the brain is a local accumulation of pus located in the tissue of the brain. Usually, an abscess of the brain occurs as a secondary disease, provided that there is an infectious focus located outside the central nervous system. Mandatory is the penetration of an infectious agent into the brain. At the same time, not one but several abscesses may exist.
  3. Brain abscesses. Surgery
    An abscess of the brain is a limited accumulation of pus in the substance of the brain. Most often, abscesses are intracerebral, less often epidural or subdural. Etiology and pathogenesis. The cause of brain abscess is the spread of infection caused by streptococci, staphylococci, pneumococci, meningococci. Often found Escherichia coli, Proteus, mixed flora. The way
  4. The clinical picture of brain abscess
    During the development of the abscess, four stages are distinguished: initial, latent, explicit and terminal. The entire clinical picture of the abscess is characterized by the presence of the following groups of symptoms: general infectious, cerebral, focal. The initial stage (meningoencephalic) is characterized by damage to the meninges in a limited area. There is a gradual spread of the focus from the brain
  5. Diagnosis of treatment of brain abscess
    Diagnosis includes a correct and complete history, an objective examination and additional methods (instrumental and laboratory). It is necessary to determine the presence in the body of chronic foci of infection, previous craniocerebral trauma, as well as the presence of general infectious, cerebral and local symptoms of brain abscess. It is necessary to carry out radiographic
  6. BRIEF INFORMATION ABOUT Encephalitis, Meningitis, and Brain Abscess
  7. BRIEF INFORMATION ABOUT Encephalitis, Meningitis, and Brain Abscess
  8. Brain. Appearance, weight. Brain departments
    The head? Th brain? - a part of the central nervous system of the vast majority of the chordates, its head end; in vertebrates is located inside the skull. The brain is a symmetrical structure, like most other parts of the body. At birth, its weight is approximately 0.3 kg, while in an adult it is approx. 1.5 kg When examining the brain, attention is primarily attracted by two large hemispheres,
  9. Abstract. Brain circulation and brain response to hypoxia, 2012
    Introduction Brain Circulation of the brain Hypoxia of the brain Conclusion List
  10. Intracerebral abscess (brain and cerebellum).
    Klinsky kartin of an otogenic intracerebral abscess consists of three groups of symptoms: general symptoms of an infectious disease, cerebral symptoms, and signs of local brain damage depending on the location of the abscess. With the introduction of antibiotics and sulfonamides, often and uncontrollably used for any febrile conditions, several
  11. Frontal lobe abscesses
    The most common source of infection is the frontal sinus, less commonly, the ethmoid labyrinth; other paranasal sinuses are less important. Abscessing usually occurs with acute or exacerbation of chronic inflammation in the sinuses. The shape, location, and size of the rhinogenic abscess of the brain are inconsistent, since the posterior wall of the frontal sinus - the main route of infection - varies in
  12. Otogenic abscess of the brain and cerebellum. Clinic, diagnosis and treatment principles
    Most brain abscesses are located in the white matter of the temporal arch of the cerebrum or in the cerebellum, i.e. adjacent to the affected temporal bone. Abscesses in the parietal, occipital, frontal lobe are much less common; on the opposite side (contralateral abscesses). Clinic The course of brain abscess is divided into 4 stages: 1. Initial (1-2 weeks) is accompanied by mild
    A clinical picture similar to tumors can be observed with solitary tuberculosis, cystic arachnoiditis, syphilitic gum, echinococcosis and cysticercosis, brain abscess and other diseases. The first clinical acquaintance with the patient often does not provide an opportunity for an accurate diagnosis. Therefore, it is customary to denote by the term “intracranial volumetric process” those diseases that subsequently
    Patients with brain tumors make up about 4% among patients with organic lesions of the nervous system. Tumors of the brain in frequency occupy fifth place among tumors of other locations, giving way to tumors of the stomach, uterus, lungs and esophagus. There are brain tumors at any age, but there is some predominance in the puberty and at the age of 45-50
  15. Brain injuries
    A brain injury occurs when a head is struck or a penetrating wound occurs in which brain function is impaired. Manifestations of brain injury can be small, moderate or severe, depending on the severity of the brain injury. Mild manifestations of trauma can consist of a slight change in consciousness, while severe trauma can result in loss of consciousness and
  16. Brain Shells
    The brain is surrounded by three membranes, which are a continuation of the membranes of the spinal cord (Fig. 117). The dura mater of the brain is simultaneously the periosteum of the inner surface of the bones of the skull, with which it is loosely connected. At the base of the skull, the membrane gives rise to processes that penetrate the crevices and openings of the skull. On the inner surface of the hard shell, several
  17. Brain structure
    The brain consists of two hemispheres, which are separated by a deep furrow, reaching the corpus callosum. The corpus callosum is a massive layer of nerve fibers that connect both hemispheres of the brain. Each hemisphere of the brain has five lobes in it: frontal, parietal, occipital, temporal and islet. The surface of the brain is covered with bark,
  18. Brain injuries
    Closed brain injuries include concussion (commotio cerebri), contusion (contusio cerebri), compression of the brain (compressio cerebri), often due to fractures of the bones of the arch or base of the skull and traumatic intracranial hemorrhage. Concussion Clinically, the symptoms of concussion can be divided into three periods: the first -
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