Brain abscess in children with congenital heart disease. I.

@article{Raimondi1965BrainAI,
  title={Brain abscess in children with congenital heart disease. I.},
  author={A. Raimondi and S. Matsumoto and R. Miller},
  journal={Journal of neurosurgery},
  year={1965},
  volume={23 6},
  pages={
          588-95
        }
}
T HOUGH the first description of a cyanotic boy, age 9, with Fallot s tetralogy and a brain abscess was that of Farr6 (1814), ~ it was not until 1880 that the causal association of congenital heart dissease (CHD) with brain abscess was made. 2 I n 1881, Stone 15 and Peacock 12 each published a case in which the initial symptom was headache. By 1945, only ~6 cases of cerebral abscess in C H D had been published. 13 Though Macewen, s in his publication of 1893, did not mention the association of… Expand
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Since the introduction of computerized tomography, aspiration without total excision has produced good results, and therefore it is believed that the number of cases which are cured with aspiration therapy alone will gradually increase in the future. Expand
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Vascular slowing in a localised area resulting in infraction and thus preparing the focus for abscess formation is the possible mechanism in the evolution of these abscesses. Expand
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The continuing substantial mortality is attributed to the presence of coma at the time of treatment, hemorrhagic complications of tapping abscesses, and the location of abscesss in deep brain structures. Expand
Brain abscess in children
  • R. Bhatia
  • Medicine
  • Indian journal of pediatrics
  • 1983
TLDR
In a series of 220 cases of brain abscesses, 96 children (44%) were below 15 yr of age, and the diagnosis was dominated by the CTscan which revealed multiple loculi, multiple abscess and deep seated unsuspected lesions. Expand
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TLDR
Multiple pyogenic brain abscesses constituted 11.7% (21 patients) of a series of 179 consecutive patients withbrain abscess treated from 1976 to 1984, there being no clinical features suggestive of multiple lesions. Expand
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In cardiac insufficiency, encephalomalacia and thrombosis may occur followed by focal infection, and reduced microcirculation with polycythemia and raised hematocrit may favour the development of a hematogenous brain abscess. Expand
Brain abscess and congenital heart disease
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The clinical features and management of 18 patients with congenital heart disease and a brain abscess are reviewed and tapping may be the final investigation, and is also the treatment of choice. Expand
William Macewen and the treatment of brain abscesses: revisited after one hundred years.
TLDR
The author reviews the state of knowledge of brain abscess existing in the 19th and 20th centuries, with particular emphasis on the late 19th century, and elucidates factors contributing to Macewen's remarkable success. Expand
Brain abscess in infants and children
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Etiology, diagnostic method, and treatment modalities were not found to be significant factors in terms of predicting mortality, and Streptococci, staphylococci and Proteus mirabilis were the microorganisms recovered in cultures. Expand
Abscesso cerebral associado à cardiopatia congênita cianótica Considerações sobre 17 casos
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The most common congenital heart disease was tetralogy of Fallot, followed by tricuspid atresia, trilogy of Fallots, and persistence ducto arteriosus, and the overall mortality rate was 23.5%. Expand
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References

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BRAIN ABSCESS ASSOCIATED WITH CONGENITAL HEART DISEASE
Brain abscess is a relatively unrecognized complication of congenital heart disease, so little known that only rarely does one find reference to it in any standard textbook of medicine. ThisExpand
Brain abscess in congenital heart disease.
TLDR
It is of utmost importance that all physicians be aware of the frequency of brain abscess in congenital heart disease and suspect it early so that treatment can be carried out before there is irreversible brain damage. Expand
CEREBRAL ABSCESS AND PARADOXIC EMBOLISM ASSOCIATED WITH CONGENITAL HEART DISEASE: REPORT OF SEVEN CASES, WITH A REVIEW OF THE LITERATURE
TLDR
Of the 25,620 autopsies performed during the past twenty-one and a half years by the department of pathology of the Los Angeles County Hospital, in 160 congenital defects of the heart and the great vessels were observed, there was a paradoxic embolism in 1 and cerebral abscess was present in 6. Expand
Pyogenic Infective Diseases of the Brain and Spinal Cord: Meningitis, Abscess of Brain, Infective Sinus Thrombosis
TLDR
When the authors find in a book on a surgical subject, over twenty closely printed pages devoted to the anatomy of the temporal bone, they obtain some conception of the thoroughness and fundamental character of the work as a surgeon. Expand
Brain abscess and congenital heart disease.
Excerpt There is a sparsity of reports in the medical literature concerning the syndrome of brain abscess and congenital heart disease. This has led to a general belief that cerebral suppuration is...
Haematogenous brain abscess in cyanotic congenital heart disease.
  • E. Newton
  • Medicine
  • The Quarterly journal of medicine
  • 1956
Cerebral lesions in congenital heart disease.
The syndrome of cerebral abscess and congenital cardiac disease.
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