-
-
J Korean Neurol Assoc. 1985;3(2):210-216.
- Clinical Studies of Brain Abscess in Children
-
Young-Hyuk Lee, M.D.,Chang-Joon Go, M.D.
-
Department of Pediatrics, Yunse University, 허약아동 연구소
- 소아 뇌농양의 임상적 고찰
-
이영혁, 고창준
-
연세대학교 소아과, 허약아동 연구소.
- Abstract
- Clinical investigation of 20 cases of brain abscess has been done at the dept of Pediatric Yonsei Medical Center, who had been treated during the period of 8 years from January 1977 through Jun 1985.
Following results has been obtained:
1. Of 20 patients, 14 patient was male and the rest 6 was female rating M:F ratio 2.3:1 and
the youngest patient was undler 1 year, the oldest one was 15 years old.
2. The chief complaints at admission were headache, fever, vomiting in order of frequency,
while neurologic signs were neck stiffiness, hemiparesis, papilledema etc.
3. The preceeding causative diseases of brain abscess were diseases involving ENT 15%,
congenital heart disease 20%, head trauma 35% and the rest 20% the etiology of brain
abscess was not determined. The abscess tended to occure at temporoparietal area in the
cases associated with otitis media while abscess originating from congenital heart diseases
tended to occure multiple area.
4. 10 cases out of 20 had lumbar puncture under the suspision of meningitis, 2 cases
manifested normal CSF finding. Patients who has focal neurologic finding associated with
OMPC or congenital heart disease should suspect for brain abscess, which can be easily
conform by brain C-T scan as well as patient who manifested unusual clinical course.
5. Factor relating prognosis were mental state and duriation between onset of clinical
symptom and time starting treatment; clear mental state and short duration reflect better
prognosis.
6. The motality rate was 33%, and the neurologic sequelas were hemiparesis (36.4%), mental
deficit (18.2), dysarthria, epilepsy, hydrocephalus and blindness.
Keywords :
- 초록
-
