INTRACEREBRAL ABSCESS

摘要

The authors report the case of a 6 years old male, admitted on the 7th of November 2000, who has been diagnosed in March 1996 with a congenital heart disease - the Fallot penthalogy. On admission he was febrile, and complained of headache, vomits, mild right motor weakness and right homonymus hemianopsia. Cerebral computed tomography showed multiple well-defined lesions located in the left parietal lobe (the main ones measuring 6cm. and respectively 7cm. in diameter) with an intense ring enhancement surrounding a lower density necrotic center. The abscesses were resected by open surgery, through a parietal craniotomy. The multiple, multiloculated abscesses were entirely excised. Cultures from brain abscesses were sterile. Control cerebral CT scans, performed 6 months and respectively 26 months after the operation showed the absence of any intracerebral tumoral mass. Presently, 26 months since the surgical intervention, the patient was in good general state without any neurological signs or deficits. The correlation between patient's multiple brain abscesses, his age and his predisposing factor - a congenital heart disease, the excellent response to the therapy (surgery and antibiotic therapy) and the very good present condition of the patient, made the particularity of this case.