Value of Numerical Criteria in the Management of Brain Abscess | [Journal of Rawalpindi Medical College • 2016]

Author(s):

1. Muhammad Khalid: Department of Neurosurgery, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

2. Umer Farooq Raina: Department of Neurosurgery, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

3. Tahir Khaleeq: Department of Neurosurgery, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

4. Samina Khaleeq: Department of Neurosurgery, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

5. Khaleeq Uz Zaman: Department of Neurosurgery, Pakistan Institute of Medical Sciences,Islamabad,Pakistan

Abstract:

Background. To study the value of a numerical criteria in the management of brain abscess. Methods. All Patients with brain abscess were included prospectively in this study. Decision regarding management was made on the basis of a quantified numerical criteria , based on Glasgow Coma Scale, focal neurological deficit, radiological findings and Co morbidities . According to the criteria management was divided into three groups ,i.e., urgent intervention (Burr hole and aspiration), elective surgery on next available list (total excision) and conservative treatment (empirically) Results: Thirty eight patients were studied during 16 months. According to the criteria , 8 patients were treated by burr hole in emergency, 10 patients were treated by total excision, 18 patients were treated by burr hole plus total excision and 2 patients did not undergo surgical intervention. Thirty (78.94%) cases out of 38 improved , 4 patients with hemiparesis did not improve (10.52%).Complications developed in 7 (18.42%). Four cases died (10.52%). There was no difference in the decision regarding mode of surgery based on criteria between the resident and senior consultants. Conclusion. Numerical criteria provide a reasonably useful and uniform guideline for management of brain abscesses.

Page(s): 7-11

DOI: DOI not available

Published: Journal: Journal of Rawalpindi Medical College, Volume: 20, Issue: 1, Year: 2016

Keywords:

Brain abscesses , Burr hole aspiration , Total excision , Numerical Criteria

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