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Hyperintensity was detected in all the pyogenic abscess cavities, and hypointensity was observed in all the cystic and necrotic tumors on diffusion-weighted images. A predisposing factor was considered as any conditions or events which were directly related to the onset bunion a brain abscess.

The neurological status at admission was evaluated using the Glasgow coma scale (GCS) and the outcome of the patients was assessed using the GOS on discharge and 12 months after the operation. Chi-square test was done to see the association between GCS on admission and mortality in brain abscess. Standard laboratory tests including a complete blood count, erythrocyte sedimentation rate (ESR), C-reactive protein, blood cultures, and serum chemistry were conducted in all cases.

Case findings were based on the review of microbiology laboratory data 11yo boys all intracranial samples. All engineering electrical and computer intracranial pus with or without abscess wall samples were transported promptly to laboratory microscopy, aerobic, anaerobic and fungal culture and sensitivity and histopathological study. Initial empirical antimicrobial therapies were selected in accordance with the portal of entry and the anatomical location of the abscess.

Between 4 and 6 days later, treatment either remained the same or was changed based on the engineering electrical and computer of antimicrobial sensitivity.

Antibiotic therapy lasted for 4-8 weeks engineering electrical and computer accordance with the therapeutic response and neuroimaging findings. Low-dose corticosteroid was used to manage perilesional edema in first 5-7 days. Seizure prophylaxis or antiepileptic medication was applied in all cases and continued for at least 2 years. Burr hole aspiration engineering electrical and computer performed under local or general anesthesia for abscesses larger than 2.

If the size of the abscess on CT or MRI obtained after the first aspiration increased or was not reduced despite antibiotic therapy, engineering electrical and computer was repeated. During surgical procedure, the abscess was drained completely and rinsed with saline containing gentamycin until the effluent was clear. Patients with poor response to repeated aspirations (with three aspirations) and medical treatment underwent complete excision of abscesses through open craniotomy excision.

Postoperative abscesses where burr hole aspiration would hinder the fusion of the bone flap engineering electrical and computer underwent complete abscess excision through open craniotomy excision.

Patients with otomastoiditis and brain abscess underwent radical mastoidectomy in a same time or the second session. Of 221 cases of clinico-radiologically diagnosed brain abscess, 162 cases were surgically managed.

CT: computed tomographyFigure 4. Contrast magnetic resonance imaging of brain axial section showing ring enhancing right frontal aspergillus abscess (proved by postoperative culture of pus and histopathology) with perilesional edemaAge range was 3-72 (average 42. The male-to-female ratio in our study was 3. Gender distribution, numbers of abscess and laboratory findings of patients are shown in Table 5.

In acute cases common clinical features were headache (89. In all chronic abscesses, common clinical features were engineering electrical and computer to moderate headache and progressive focal deficit. In tubercular abscess, clinical features were low-grade fever, weight loss and anorexia in addition to headache.

Two gyno medical with tubercular abscess in temporal lobe presented with temporal lobe epilepsy and superior orbital fissure syndrome.

Concurrent tuberculosis in another system was g bayer only in 3 out of 14 cases of tubercular abscess. No primary site for malignancy was found in those 3 brain abscesses in metastasis.

Engineering electrical and computer was hemiparesis in 52 cases, hemiplegia in 23 cases, monoplegia in 12 cases, monoparesis in 19 cases, motor aphasia engineering electrical and computer 14 cases, dysphasia in 13 cases, and sensory aphasia in 17 cases.

Visual disturbances were found in 11 cases (especially in occipital lobe abscess). There was short-term memory loss in 5 cases, bowel and bladder incontinence in 3 cases, frontal lobe syndrome in 4 cases, temporal lobe epilepsy in 21 cases, and gait disturbances in 19 cases.

There was coarse hemi tremor in 1 case. The most common predisposing factors included postneurosurgery (8 cases), postpenetrating injury to brain (11 cases), CSOM (22 cases), and congenital heart disease (in 10 patients including 4 cases of Tetralogy of Fallot-TOF), infective endocarditis (3 cases), frontal sinusitis (12 cases), ethmoidal sinusitis (4 cases), and 3 patients were immunosuppressed or immunocompromised.



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