title: Analysis and management of brain abscess; a ten year hospital based study.
abstract: OBJECTIVE
  To study clinical, microbiological and radiological profile of pyogenic brain abscess patients along with modes of treatment and their outcome.
  
  
  METHODS
  This retrospective as well as prospective study included One hundred and fourteen patients of Brain Abscess who were admitted and evaluated in the Department of Neurosurgery over a period of ten years .This study had a retrospective component from Oct 2001 to May 2009 in which eighty six patients were included and a prospective component from June 2009 to Oct 2011 which included twenty eight patients. Patients were managed medically including intravenous antibiotics and surgical management including single burr hole and total resection with open craniotomy or craniectomy. To evaluate abscess size after aspiration, CT or MR imaging was performed [~ 24 hours after aspiration] and as and when demanded by worsening of the clinical condition or no response to medical and surgical treatment.
  
  
  RESULTS
  It was observed that majority of the patients in our study were males numbering 83(72.8%) where as there were only 31 females (27.2%). It was observed that among the underlying factors CSOM predominated with 57 patients ie (50%).
authors.affiliation: Sher I Kashmir Institute of Medical Sciences Srinagar, Department of Neurosurgery, Srinagar, Jammu and Kashmir, India. arifhsarmast@gmail.com
authors.forename: Arif Hussain
authors.initials: AH
authors.lastname: Sarmast
authors.forename: Hakim Irfan
authors.initials: HI
authors.lastname: Showkat
authors.forename: Abdul Rashid
authors.initials: AR
authors.lastname: Bhat
authors.forename: Altaf Rehman
authors.initials: AR
authors.lastname: Kirmani
authors.forename: Mohammad Yousuf
authors.initials: MY
authors.lastname: Kachroo
authors.forename: Suhail Farooq
authors.initials: SF
authors.lastname: Mir
authors.forename: Yasir Ahmed
authors.initials: YA
authors.lastname: Lone
authors.forename: Aamir Aalam
authors.initials: AA
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001921:Brain / Q000473:pathology / Q000601:surgery*; D001922:Brain Abscess / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003399:Craniotomy / Q000379:methods; D019468:Disease Management; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D011446:Prospective Studies; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents