مراجعة
Brain stem abscesses in childhood
العنوان: | Brain stem abscesses in childhood |
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المؤلفون: | Süzer, Tuncer, Coskun, E., Çırak, Bayram, YaÄŸcı, Begül, Tahta, Kadir |
سنة النشر: | 2005 |
المجموعة: | Pamukkale University Repository / Pamukkale Üniversitesi Açık Erişim Arşivi |
مصطلحات موضوعية: | Abscess, Brain stem, Brain stem abscess, Central nervous system, Surgical drainage, ceftriaxone, metronidazole, vancomycin, abducens nerve disease, aspiration, child, childhood disease, diagnostic procedure, early diagnosis, facial nerve disease, fatality, human, medical literature, medulla oblongata, mesencephalon, microsurgery, morbidity, mortality, neurologic examination, neuroradiology, pons, priority journal, prognosis, pyramidal tract, review |
الوصف: | Background: Solitary brain stem abscess is a rare condition with high mortality and morbidity. These lesions were considered to be invariably fatal before 1974 when advanced diagnostic tools were not available. Recently, the diagnosis and prognosis of brain stem abscesses have been modified by the introduction of modern radiological tools, and several patients with a favorable outcome have been reported since then. Because the pons is the most common site of the abscesses, involvement of the sixth and seventh nerves is frequent. The midbrain is the second most likely location, and medullary abscesses are distinctly rare. Treatment of a brain stem abscess includes medical therapy alone, open microsurgical intervention, or stereotactic aspiration. Case report: We report a case of a 7-year-old girl with a solitary brain stem abscess. Her neurological examination revealed involvement of the cranial nerves and pyramidal tracts. Microsurgical exposure and aspiration of the abscess resulted in rapid improvement in her neurological condition and radiological resolution of the lesion. We discuss this uncommon case to draw attention to the importance of early diagnosis and adequate treatment, and we review the relevant literature. © Springer-Verlag 2005. |
نوع الوثيقة: | review |
اللغة: | English |
تدمد: | 0256-7040 |
العلاقة: | Child's Nervous System; DiÄŸer; https://hdl.handle.net/11499/4938Test; https://doi.org/10.1007/s00381-004-1024-1Test; 21; 27; 31; 2-s2.0-12444310277; WOS:000226460200006 |
DOI: | 10.1007/s00381-004-1024-1 |
الإتاحة: | https://doi.org/10.1007/s00381-004-1024-1Test https://hdl.handle.net/11499/4938Test |
حقوق: | none |
رقم الانضمام: | edsbas.76CCCF9F |
قاعدة البيانات: | BASE |
تدمد: | 02567040 |
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DOI: | 10.1007/s00381-004-1024-1 |