Outcome of management of brain abscess in children

Management of brain abscess in children

  • Ikram Ullah Khan Children Hospital Multan
  • Abdul Latif Nishtar Medical University Multan
  • Muhammad Ashraf The Children’s Hospital & The Institute of Child Health, Multan
  • Muhammad Kashif Chishti The Children’s Hospital & The Institute of Child Health, Multan
  • Sadia Sadiq The Children’s Hospital & The Institute of Child Health, Multan
Keywords: Brain abscess, Children, Craniotomy

Abstract

Objective: To find out the outcome of management of brain abscess in children.

Methods: This is prospective observational study conducted in the Department of Paediatric Neurosurgery at Children’s Hospital and Institute of Child Health, Multan from July 2014 to June 2017. Children up to the age of 14 years suffering from brain abscess were admitted. After taking clinical history, general and systemic physical examination and necessary investigations, abscess was evacuated and abscess wall excised after performing craniotomy. Data was collected on a predesigned performa. Results were analyzed and compared with national and international literature through statistical package for social sciences (SPSS-20).

Results: Twenty five patients up to 14 years of age were included. Seventeen (68%) were male and eight (32%) female. Fever and vomiting were present in all 25 (100%) patients. Paranasal sinusitis was predisposing causative factor in 9(36%) followed by otitis media in 7 (28%). Abscess was present in frontal lobe in 9 (36%), temporoparietal region in 8 (32%), posterior fossa in 5 (20%) and multiple abscesses in 3 (12%). Craniotomy was performed, pus evacuated and abscess wall excised in all 25 (100%) patients. Three (12%) patients expired.

Conclusion: Incidence of brain abscess can be decreased by treatment of its predisposing causes as sinusitis and otitis media. Small abscess less than 2cm can be treated with antibiotics. Complete evacuation of pus and excision of abscess wall after performing craniotomy along with appropriate antibiotics is gold standard management of brain abscess in children.

doi: https://doi.org/10.12669/pjms.36.3.1087

How to cite this:
Khan IU, Latif A, Ashraf M, Chishti MK, Sadiq S. Outcome of management of brain abscess in children. Pak J Med Sci. 2020;36(3):306-309. doi: https://doi.org/10.12669/pjms.36.3.1087

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Abdul Latif, Nishtar Medical University Multan

Associate Professor

Department of Paediatric Surgery

Muhammad Ashraf, The Children’s Hospital & The Institute of Child Health, Multan

Associate Professor

Department of Paediatric Neurosurgery

Muhammad Kashif Chishti, The Children’s Hospital & The Institute of Child Health, Multan

Professor of Paediatric Surgery

Department of Pediatric Surgery

Sadia Sadiq, The Children’s Hospital & The Institute of Child Health, Multan

Senior Women Medical Officer

Radiology Department

Published
2020-03-03
How to Cite
Khan, I., Latif, A., Ashraf, M., Chishti, M., & Sadiq, S. (2020). Outcome of management of brain abscess in children. Pakistan Journal of Medical Sciences, 36(3). https://doi.org/10.12669/pjms.36.3.1087
Section
Original Articles