Non-otogenic cerebral abscess.
Non-otogenic cerebral abscess is becoming relatively more frequent compared with otogenic. It arises in a setting of sepsis, trauma, or congenital heart disease. The onset presents a meningo-encephalitic picture, often with two stages, followed by epilepsy and/or a hemiparesis. The best investigations are an EEG and, probably, an isotope scan. The angiogram may be misleading as 40% may not have a midline shift. 'Acute localized non-suppurative encephalitis' seems to be more frequent than in the past. Antibiotics and aspiration appear to be the best treatment.
D000190:Actinomyces / Q000302:isolation & purification; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001439:Bacteroides / Q000302:isolation & purification; D001922:Brain Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000401:mortality / Q000601:surgery; D002533:Cerebral Angiography; D006259:Craniocerebral Trauma / Q000150:complications; D004569:Electroencephalography; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D008169:Lung Abscess / Q000150:complications; D012852:Sinusitis / Q000150:complications; D013129:Spinal Puncture; D013210:Staphylococcus / Q000302:isolation & purification; D013291:Streptococcus / Q000302:isolation & purification; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000150:complications
D000900:Anti-Bacterial Agents