scholarly journals A developing brain abscess as acute stroke mimic: presentation of case and review of literature

2020 ◽  
Vol 3 (4) ◽  
pp. 96-100
Author(s):  
Ma. Kahra Christy E. Jumawan ◽  
◽  
B. EPE Edgardo ◽  
Anabella A. Salise-Oncog ◽  
◽  
...  
Keyword(s):  
Acute Stroke ◽  
Brain Abscess ◽  
Vasogenic Edema ◽  
Developing Brain ◽  
Neurologic Manifestations ◽  
Review Of Literature ◽  
Childhood Stroke ◽  
Brain Tomography ◽  
Motor Strength ◽  
Stroke Mimic

Whether brain abscess is a cause, or a complication of stroke has been a question that elicited differing opinions. We report a case of a child who initially presented with hemiparesis and seizures. Initial brain tomography did not show hemorrhage or infarction. He was managed as a case of childhood stroke. The neurologic manifestations gradually improved until the 17th day of hospitalization when regression of the motor strength and anisocoria occurred. A repeat brain tomography showed multiple masses and vasogenic edema consistent with brain abscess.

scholarly journals Brain Abscess Masquerading as Brain Infarction

2020 ◽  
Vol 10 (7) ◽  
pp. 440
Author(s):  
Da-Eun Jeong ◽  
Jun Lee
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Vasogenic Edema ◽  
Brain Infarction ◽  
Sudden Onset ◽  
Restricted Diffusion ◽  
Left Middle Cerebral Artery ◽  
Magnetic Resonance Imaging Mri ◽  
Radiographic Data

Occasionally, acute ischemic stroke can be difficult to differentiate from acute intracranial infection. We describe a patient who presented with sudden onset of right hemiparesis and fever. Magnetic resonance imaging (MRI) was consistent with an acute stroke, showing multiple lesions with restricted diffusion in the left middle cerebral artery territory. These lesions were not enhancing and were not associated with vasogenic edema. A diagnosis of acute stroke was made based on the clinical and radiographic data. Follow-up MRI obtained eleven days later showed interval development of ring enhancement and vasogenic edema surrounding the previously noted core of restricted diffusion. Based on these findings, the diagnosis was revised to cerebral abscesses and the patient was treated successfully with antibiotics. In retrospect, the largest diffusion-weighted lesion on baseline MRI demonstrated two characteristics that were atypical for stroke: it had an ovoid shape and a subtle T2 hypointense core. This case demonstrates that acute clinical and radiographic presentation of cerebral abscess and ischemic stroke can be strikingly similar. Follow-up imaging can be instrumental in arriving at an accurate diagnosis.

Otogenic brain abscess and its management with review of literature

2017 ◽  
Vol 3 (2) ◽  
pp. 180
Author(s):  
Sateesh Melkundi ◽  
Renuka S. Melkundi
Keyword(s):  
Brain Abscess ◽  
Chronic Otitis Media ◽  
Ct Scanning ◽  
Severe Headache ◽  
Short Stay ◽  
Review Of Literature ◽  
Early Disease ◽  
Temporal Bone Ct ◽  
Chief Complaints ◽  
Hrct Temporal Bone

<p class="abstract"><strong>Background:</strong> Proper management of chronic otitis media may reduce the incidence of otogenic brain abscess. The objective of this study is to present our experience in the management of otogenic brain abscess by neurosurgical and otolaryngological surgery simultaneously<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> It is a retrospective study conducted between 2006-2015. 20 patients with otogenic brain abscess were admitted to neurosurgery and ENT wards for management were included in the study. On admissions patients had ENT, neurosurgery and neurological examinations. All the patients underwent neurosurgery followed by mastoidectomy. Repeat CT scanning/ MRI scanning done after 1 week to check for the success of the surgery and discharged on the 10th day after suture removal. Patients were followed up for 1-2 years<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> The study included sixteen males and four females. Their age ranged between 4-32 years with mean of 18 years. Their chief complaints were severe headache, vomiting and fever with unilateral and or bilateral foul smelling discharge. <span>Brain and HRCT temporal bone CT scanning showed equal incidence of abscess on the sides with 8 cerebellar, 6 temporal, 5 tempero parietal and 1 fronto parietal abscess. After completion of surgery, eighteen patients improved and two patents expired due to septic shock</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> This is technically more feasible technique with an added advantage of single anaesthesia, short stay of patient in the hospital and early disease clearance in the same procedure<span lang="EN-IN">.</span></p>

scholarly journals Nocardial brain abscess in an immunocompetent patient and review of literature

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Yinian Zhang ◽  
Wei Zhu ◽  
Qiao li ◽  
Boru Hou ◽  
Yanfei Jia ◽  
...  
Keyword(s):  
Brain Abscess ◽  
Immunocompetent Patient ◽  
Review Of Literature

Delayed brain abscess after embolization of arterio-venous malformation: Report of two cases and review of literature

2011 ◽  
Vol 59 (4) ◽  
pp. 620 ◽  
Author(s):  
Daljit Singh ◽  
Anita Jagetia ◽  
Arun Sharma ◽  
Poonam Loomba ◽  
Monica Tandon
Keyword(s):  
Brain Abscess ◽  
Venous Malformation ◽  
Review Of Literature ◽  
Arterio Venous Malformation

scholarly journals COVID-19-associated brain abscess caused by Trichosporon dohaense: A case report and review of literature

2021 ◽  
Author(s):  
Arghadip Samaddar ◽  
Jyoti Diwakar ◽  
Priya Krishnan ◽  
Veena Kumari HN ◽  
Kavya M ◽  
...  
Keyword(s):  
Case Report ◽  
Brain Abscess ◽  
Review Of Literature

scholarly journals Nocardia Farcinica brain abscess in an immunocompetent old patient: A case report and review of literature

2017 ◽  
Vol 20 (4) ◽  
pp. 399 ◽  
Author(s):  
DineshMohan Chaudhari ◽  
PushpendraNath Renjen ◽  
Raman Sardana ◽  
Hena Butta
Keyword(s):  
Case Report ◽  
Brain Abscess ◽  
Review Of Literature ◽  
Nocardia Farcinica

scholarly journals Sinus venosus atrial septal defect presenting with brain abscess in a 33-year-old man

2019 ◽  
Vol 11 (4) ◽  
pp. 322-324
Author(s):  
Roghayeh Pourkia ◽  
Seyed Habibollah Hassani ◽  
Simin Mouodi
Keyword(s):  
Atrial Septal Defect ◽  
Brain Abscess ◽  
Septal Defect ◽  
Vasogenic Edema ◽  
Brain Magnetic Resonance Imaging ◽  
Large Mass ◽  
Left Ventricular ◽  
Sinus Venosus ◽  
Right Atrial ◽  
Contrast Study

This study aimed to present a case of 33-year old man who was admitted with a history of one week headache and acute diplopia. No important finding was reported in his past medical history. Brain CT-scan revealed a large mass lesion in left parieto-occipital area with prominent vasogenic edema and midline shift. Brain magnetic resonance imaging (MRI) showed a mass with size of 5*4*5 centimeter with ring enhancement. After cranial surgery and removing the mass, transthoracic and transesophageal echocardiography (TEE) were conducted to find the source of brain abscess. Right ventricular (RV) and right atrial (RA) enlargement, significant left to right shunt, normal left ventricular (LV) and RV function, bidirectional shunt in addition to moderate size superior sinus venosus type atrial septal defect (ASD) were detected. Considering that most of brain abscesses have hematogenous source, a complete cardiac evaluation including TEE with contrast study is suggested for evaluation of patients with brain abscess.

scholarly journals Unilateral Papillitis as the Initial Presentation of Hemifacial Atrophy: Case Report and Review of Literature

2020 ◽  
Vol 10 (1) ◽  
pp. 97-101
Author(s):  
Akhlaque Hossain Khan ◽  
Nazmin Ahmed ◽  
Vijay Kumar Raut
Keyword(s):  
Neurologic Manifestations ◽  
Review Of Literature ◽  
Hemifacial Atrophy ◽  
Plastic And Reconstructive Surgery ◽  
Visual Improvement ◽  
Progressive Hemifacial Atrophy ◽  
Threatening Condition ◽  
Parry Romberg Syndrome ◽  
The Right ◽  
Fundoscopic Examination

Papillitis is a vision threatening condition, characterized by inflammation of the optic disc which often mimicked the features of papilledema; hence these patients often referred to the Neurosurgeon to exclude any intracranial pathology. This entity is associated with a number of intracranial, as well as extracranial pathologies. Among them, Parry–Romberg syndrome, also known as progressive hemifacial atrophy (PHA) possesses multiple ophthalmologic and neurologic manifestations. Here we report the case of a 14-year-old girl, who presented with the feature of progressive dimness of vision involving the right eye. Thorough physical examination demonstrated features of PHA overlapping with papillitis on fundoscopic examination. The patient treated with steroids, following which there was visual improvement. After evaluation in our facility, she was referred to department of plastic and reconstructive surgery for aesthetic improvement. Bang. J Neurosurgery 2020; 10(1): 97-101

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