Abstract:
BACKGROUND:Treatment of brain abscess is still a subject of controversy. Simple therapeutic approaches like twist drill/burr hole aspiration with or without insertion of a drain are also quite effective. There are reports of encouraging results following endoscopic treatment. We are reporting our results of endoscopic approach on 24 patients. MATERIALS AND METHODS:This is a prospective study on 24 patients of brain abscesses treated between January 2004 and January 2007. All the cases except those with small abscesses (less than 1.0 cm in diameter) and multiloculated abscesses were included. Gabb 6-degree rigid endoscope was used. Repeat CT scan was done in all cases within 7 and 30 days after surgery. Ten patients (42%) had small residual abscess on 7 th post-operative day's CT scan, while 30 th post-operative day's CT scan did not show any significant lesion in all the cases. RESULTS:There were 23 patients of chronic otitis media and one of congenital cyanotic heart disease. Glasgow coma score (GCS) was 3 in one patient, 13 in two cases, 14-15 in 21 cases. There were 14 cerebellar, 8 temporal and 1 frontal and thalamic abscess each. All the patients recovered completely except one who died (GCS 3). There was no procedure-related complication. Hospital stay ranged from 7 to 12 days with an average of 8.2 days. Follow-up ranged between 6 and 42 months. CONCLUSION:Endoscopic aspiration of brain abscess appears to be a safe and effective alternative method of treatment. There is direct visualization of abscess cavity, completeness of aspiration can be assessed, and perioperative bleeding can be controlled.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Yadav YR,Sinha M,Neha.,Parihar Vdoi
10.4103/0028-3886.39305subject
Has Abstractpub_date
2008-01-01 00:00:00pages
13-6issue
1eissn
0028-3886issn
1998-4022journal_volume
56pub_type
杂志文章相关文献
NEUROLOGY INDIA文献大全abstract::A suction pressure control valve (SPCV) for microneurosurgery is designed to place control of safe suction pressure in the hands of an operating neurosurgeon. Tumor tissue needs more negative suction pressure as compared to normal brain tissue, cranial nerves, and vessels in the neurosurgical operating field. The auth...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.288977
更新日期:2020-05-01 00:00:00
abstract::The advancements in the field of science in the past fifty years have highlighted the need to integrate all fields of human endeavours and have emphasised interdependency of various disciplines. The separation of humanities, therefore, from neurosciences is a preposterous practical joke on all thinking men. With the h...
journal_title:Neurology India
pub_type:
doi:
更新日期:1999-03-01 00:00:00
abstract:Objectives:Aspirin is a drug that has been found to be useful in reducing the incidence of infarctions. This systemic is aimed at review evaluating the benefits of aspirin in the management of tuberculous meningitis. Methods:A systematic literature search was performed using PubMed, Cochrane Central Register of Contro...
journal_title:Neurology India
pub_type: 杂志文章,meta分析
doi:10.4103/0028-3886.266232
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:The effect of initiation of levodopa therapy on the memory functions in patients with Parkinson's disease remains poorly understood. AIMS:To evaluate the effect of initiation of levodopa therapy on memory, in patients with early Parkinson's disease. SETTINGS AND DESIGN:Prospective case control study. MATE...
journal_title:Neurology India
pub_type: 临床试验,杂志文章
doi:10.4103/0028-3886.24699
更新日期:2006-03-01 00:00:00
abstract::Ehlers-Danlos Syndrome (EDS) is a group of heritable connective tissue disorders characterised by hyperelasticity of the skin and hypermobile joints. In addition to those features it is often associated with many systemic complications. Though many neurological complications have been described, an association of spin...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:Craniovertebral junction (CVJ) abnormalities, such as atlantoaxial dislocation (AAD) with or without basilar invagination (BI), with or without associated Chiari malformation (CM), may cause a high cervical myelopathy. Occasionally, mechanical factors such as inadequate canal decompression, torticollis, and/...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.193781
更新日期:2016-11-01 00:00:00
abstract::The issue of stroke in young in India has long been of interest to neurologists in the country. The age group for stroke in young has been variable between different studies but perhaps should be restricted to 15-49 years as this age group tends to have a unique set of causes and risk factors. There is no evidence ind...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.65531
更新日期:2010-05-01 00:00:00
abstract::Headaches are commonly associated with various psychiatric disorders. The comorbidity of migraine and psychiatric disorders has been well documented. Here we present a case of schizophrenia with comorbid headache treated with clozapine. The patient's headache fulfilled the diagnostic criteria for cluster headache (CH)...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
abstract::Neurological manifestations of brucellosis are rare. Twelve cases of brucellosis with neurological involvement are being presented. The underlying mechanism has been discussed. ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Recurrence of coiled aneurysm usually due to coil compaction is a known phenomenon. Extent of recurrence and its relation to re-bleeding is not known. The authors report a case of spontaneous asymptomatic extrusion of guglielmi detachable coils from the dome of a previously ruptured anterior communicating artery aneur...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.32787
更新日期:2007-04-01 00:00:00
abstract::Based on the evidence that hyperglycaemia aggravates ischaemic cerebral injury, it has been suggested that blood glucose levels be kept within 200 mg/dL during intracranial neurosurgery. Hypoglycaemia, however, can be a serious problem if glucose-containing solutions are avoided during the first four hours, as suggest...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::Endolymphatic sac tumors (ELST) are rare papillary tumors of the temporal bone. Previously named as aggressive papillary middle ear tumors, they have recently been shown to arise from the endolymphatic sac. They are a rare in cerebello-pontine angle (CPA). We present a case of an ELST who presented as a CPA tumor with...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:INTRODUCTION:The endovascular modality of treatment is the preferred treatment modality for DAVF. In some circumstances, successful obliteration may not be possible by endovascular means, and such cases may require a direct surgical treatment. The authors report on their experience with the use of cranial base approach...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::A case of alexia without agraphia with CT demonstration of the lesion is reported. The various types of occipital alexia and their anatomic bases have been reviewed. ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::The exact diagnosis of demyelinating diseases is an enigma even in the best neurological centres. In the present study, the potential role of differential CSF proteins has been critically evaluated in differentiating multiple sclerosis (MS) and acute disseminated encephalomyelitis (ADEM). Cellulose acetate electrophor...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::Pericallosal lipomas (PCLs) are rare tumors of the central nervous system. They may be associated with some parenchymal and vascular anomalies of brain. Magnetic resonance imaging is the modality of choice to assess the extent of the PCLs and possible concomitant malformations such as callosal agenesis/disgenesis. Com...
journal_title:Neurology India
pub_type:
doi:10.4103/0028-3886.271237
更新日期:2019-09-01 00:00:00
abstract::Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial (K.E.M.) Hospital, Mumbai were inaugurated in 1925. This article traces its illustrious history and of the eminent neurosurgeons who shaped its destiny. ...
journal_title:Neurology India
pub_type: 历史文章,杂志文章
doi:10.4103/neuroindia.NI_523_17
更新日期:2017-07-01 00:00:00
abstract::Parasitic twin is a rare occurrence, with rachispagus being the rarest. The surgical approach and timing are not standardized. We describe the management of two cases of rachispagus and review the sparse literature on this entity. Both cases were operated early because of the social burden on the family as well as dif...
journal_title:Neurology India
pub_type:
doi:10.4103/0028-3886.304090
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Multi-minicore disease is a rare form of myopathy characterized by slowly progressive or nonprogressive muscle weakness and characteristic multiple cores within the muscle fibers. To the best of our knowledge, this is first documentation of the clinicopathological features of this rare entity from India. MA...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.30427
更新日期:2007-01-01 00:00:00
abstract::Positron emission tomography (PET) is the study of human physiology by electronic detection of positron-emitting radiopharmaceuticals. It is one of the noninvasive technologies that can measure the metabolic and functional activity of living tissue. Positron emission tomography finds its clinical applications in broad...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.16395
更新日期:2005-06-01 00:00:00
abstract::A simultaneous odontoid decompression and bilateral posterior atlanto-axial facetal distraction, C1-2 joint spacer/bone graft placement and stabilization may be performed utilizing the 'posterior-only' approach. This procedure may be performed utilizing a single posterior midline incision, a bilateral posterior approa...
journal_title:Neurology India
pub_type:
doi:10.4103/neuroindia.NI_819_17
更新日期:2017-09-01 00:00:00
abstract::Two cases of haemorrhage during cranial computed tomography (CT) occurring during the enhancement phase of CT examination immediately after the administration of intravenous contrast medium are reported. In both cases, the preceding unenhanced scansshowed evidence of haemorrhage. The risk of aneurysmal rupture as a re...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::Stroke is a common but under recognized complication of neurocysticercosis (NCC). We report six patients having NCC who presented with stroke. All patients were young with no vascular risk factors. The arteritis which resulted in ischaemic infarct in these patients was related to the presence and severity of arachnoid...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract::High-grade gliomas are relatively frequent in adults, and consist of the most malignant kind of primary brain tumor. Being resistant to standard treatment modalities such as surgery, radiation, and chemotherapy, it is fatal within 1 to 2 years of onset of symptoms. Although several gene therapy systems proved to be ef...
journal_title:Neurology India
pub_type: 历史文章,杂志文章
doi:10.4103/0028-3886.15046
更新日期:2005-03-01 00:00:00
abstract::Early myoclonic encephalopathy (EME) is a rare malignant epileptic syndrome. The erratic myoclonus with or without focal motor seizures, time of onset before 3 months of age, and suppression-burst (SB) pattern in EEG are accepted as the diagnostic criteria for EME. We report a 40-day-old infant with the diagnosis of n...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.16423
更新日期:2005-06-01 00:00:00
abstract:Background:Spinal dural arteriovenous fistula (SDAVF) is a known cause of progressive myelopathy which can be treated either by surgery or embolization. Indocyanine green angiography videoangiography (ICG-VA) during surgery can locate the exact location of AV shunting. Objective:To determine the clinical outcome follo...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.279705
更新日期:2020-01-01 00:00:00
abstract::Scedosporium apiospermum is a filamentous fungus causing a broad spectrum of clinical diseases especially in those who are immunocompromised. The common sites involved are lungs, skin, sinuses, eyes, bones, joints, and central nervous system (CNS). CNS is involved in invasive Scedosporiosis in the form of a cerebral a...
journal_title:Neurology India
pub_type:
doi:10.4103/0028-3886.293486
更新日期:2020-07-01 00:00:00
abstract::A case of cervico thoracic junctional area spinal tuberculosis presenting as painful radiculitis of the upper extremity is reported. The predominant symptom of radicular pain and muscle weakness in the hand, along with a claw deformity, led to considerable delay in diagnosis. The presence of advanced bone destruction ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:Despite dramatic advances in all medical era, cerebral vasospasm is still the major complication in patients with subarachnoid hemorrhage (SAH). The purpose of this study was to assess the influence of intraarterial (IA) nimodipine in the treatment of symptomatic vasospasm and in preventing neurological disab...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.91356
更新日期:2011-11-01 00:00:00
abstract::A 59-year old man developed perioperative stroke following left carotid endarterectomy seconday to thrombosis at the endarterectomy site. Transcranial Doppler ultrasonography revealed very frequent microembolization in the left middle cerebral artery territory. The patient was successfully treated with intravenous abc...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.59477
更新日期:2009-11-01 00:00:00