Brain abscess in a non-penetrating traumatic intracerebral hematoma: case report and review of literature.
We report a 57-year-old man who presented one month after sustaining a traumatic right temporal intracerebral hematoma with history of headache, left hemiparesis and altered sensorium of two days duration. A diagnosis of right temporal resolving hematoma was made on computed tomography scan. However, his sensorium progressively deteriorated and he underwent craniotomy and partial excision of an abscess. He was treated with appropriate antibiotics for six weeks despite of which he did not improve and died nine months later. We conclude that there should be a high index of suspicion for brain abscess in patients with traumatic intracerebral hemorrhage if the clinical and radiological picture is different from the expected course of a resolving hematoma.
Thomas
Santhosh George
SG
Department of Neurological Sciences, Christian Medical College, Vellore, India.
Moorthy
Ranjith K
RK
Rajshekhar
Vedantam
V
D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D020201:Brain Hemorrhage, Traumatic / Q000150:complications* / Q000000981:diagnostic imaging; D002439:Cefotaxime / Q000627:therapeutic use; D017809:Fatal Outcome; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D000583:Amikacin; D002439:Cefotaxime