Diagnosis and management of brain abscess and subdural empyema

被引：71
作者：
Bernardini G.L. [1 ]
机构：
[1] Department of Neurology, Albany Medical Center, Albany, NY 12208
来源：
Current Neurology and Neuroscience Reports | 2004年 / 4卷 / 6期
关键词：
Bacterial Meningitis; Brain Abscess; Decompressive Craniectomy; Hereditary Hemorrhagic Telangiectasia; Focal Neurologic Sign;
D O I：
10.1007/s11910-004-0067-8
中图分类号：
学科分类号：
摘要：
Advances in the diagnosis and treatment of brain abscess and subdural empyema with neuroimaging techniques such as computerized tomography, magnetic resonance imaging, magnetic resonance spectroscopy, the availability of new antimicrobials, and the development of novel surgical techniques have significantly contributed to the decreased morbidity and mortality associated these infections. Determination of point of entry and source of infection is paramount to adequate treatment. A high index of suspicion along with typical clinical presentation of headache, seizures, or focal neurologic signs can lead to early diagnosis so that effective therapy can be instituted as soon as possible. This review discusses etiology and pathology of brain abscess and subdural empyema, neuroimaging techniques useful in the diagnosis, and optimal treatment, including use of antimicrobials and surgical procedure. Copyright © 2004 by Current Science Inc.
引用
收藏
页码：448 / 456
页数：8
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