title: [Brain abscess in a bidirectional atrial septal defect in adulthood].
abstract: An abscess of the brain is a serious complication in patients with congenital heart malformation. The great majority of cases are limited to cyanotic congenital heart disease and a peak in the age distribution can be seen in childhood. We report on a 40-year-old man with progressive right hemiparesis due to an abscess in the left basal ganglia. Clinical aspects and additional diagnostic assessment are described. By cardiologic examination including transoesophageal cross-sectional echocardiography a bidirectional sinus-venosus defect could be detected. This finding supported the diagnosis of a so-called 'paradoxical' brain abscess.
mesh_terms: D000328:Adult; D001922:Brain Abscess / Q000209:etiology*; D004452:Echocardiography; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000209:etiology*; D013212:Staphylococcus epidermidis; D014057:Tomography, X-Ray Computed
vernacular_title: Hirnabszess bei bidirektionalem Vorhofseptumdefekt im Erwachsenenalter.