[Cerebral abscess and Osler-Rendu disease. Apropos of 4 cases].
The authors report 4 cases of cerebral abscesses (C.A.) complicating Rendu Osler disease (hereditary haemorrhagic telangiectasia: H.H.T.). These cases and 43 others comparable found in literature enable to assess C.A. complicates H.H.T. by the way of pulmonary arteriovenous fistulas (P.A.V.F.). C.A. appears during known H.H.T. in only a quarter of cases; in all other cases C.A. reveals the disease. When the etiological search for metastatic C.A. fails to find any classical cause: O.R.L., stomatologic, cardiac, it seems important to suspect H.H.T., and research P.A.V.F. by chest X ray and pulmonary angiography. Preventive treatment consists in excluding pulmonary fistulas without waiting neurological complications of known H.H.T.
Peruzzi
P
P
Service de Neuro-Chirurgie, Hôpital Maison Blanche, Reims.
Scherpereel
B
B
Rouger
C
C
Bazin
A
A
Bernard
M H
MH
Rousseaux
P
P
D000293:Adolescent; D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications*; D001922:Brain Abscess / Q000209:etiology*; D005260:Female; D006801:Humans; D008168:Lung / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections; D013290:Streptococcal Infections; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications*
Abcès cérébraux et maladie de Rendu Osler. A propos de 4 cas.