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Brain abscess and congenital heart disease

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Summary

The clinical features and management of 18 patients with congenital heart disease and a brain abscess are reviewed. Except for one patient all had cyanosis. All abscesses were large, containing at least 50–60 ml of pus, and mostly unilocular. Bilocular and multilocular abscesses were also encountered. The organisms cultured from the pus had little relation to the mortality. Tapping may be the final investigation, and is also the treatment of choice. The high mortality (50%) is attributed to the delay in referral of these patients to a neurosurgical unit.

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References

  1. Bhatia, R., Tandon, P. N., Banerji, A. K., Brain abscess—an analysis of 55 cases. Internat. Surg.58 (1973), 565–568.

    Google Scholar 

  2. Clark, D. B., Brain abscess and congenital heart disease. Clin. Neurosurg.14 (1967), 274–287.

    Google Scholar 

  3. Courville, C. B.. In Pathology of the central nervous system, 3rd ed., Pacific Press Publishing Association, California (1950).

    Google Scholar 

  4. Gates, E. M., Rogers, H. M., Edwards, J. E., The syndrome of cerebral abscess and congenital heart disease. Proc. Staff. Meetings., Mayo Clinic22 (1947), 401–412.

    Google Scholar 

  5. Hanna, R., Cerebral abscess and paradoxical embolism associated with congenital heart disease; a report of seven eases with a review of literature. Am. J. Dis. Child.62 (1941), 555–567.

    Google Scholar 

  6. Maronde, R. F., Brain abscess and congenital heart disease. Ann. Intern. Med.33 (1950), 602–606.

    PubMed  Google Scholar 

  7. Matson, D. D., Salam, M., Brain abscess in congenital heart disease. Pediatrics27 (1961), 772–789.

    PubMed  Google Scholar 

  8. —, In Neurosurgery of Infancy and Childhood, 2nd ed., Springfield, Ill.: Ch. C Thomas. 1969.

    Google Scholar 

  9. Newton, E. J., Haematogenous brain abscess in cyanotic congenital heart disease. Q. Jl. Med.25 (1956), 201–220.

    Google Scholar 

  10. Raimondi, A. J., Matsumoto, S., Miller, R. A., Brain abscess in children with congenital heart disease I. J. Neurosurg.23 (1965), 588–595.

    PubMed  Google Scholar 

  11. Robbins, S. L., Brain abscess associated with congenital heart disease. Archs. intern. Med. (Chicago)75 (1945), 279–283.

    Google Scholar 

  12. Smolik, E. A., Blattner, R. J., Heys, F. M., Brain abscess associated with congenital heart disease: Report of a case with complete recovery. J. Am. Med. Res. Ass.130 (1946), 145–147.

    Google Scholar 

  13. Stone, W. H., A case of tricoelian heart with insufficiency of the ventricular septum. St. Thorn. Hosp. Rep.11 (1881), 57–60.

    Google Scholar 

  14. Tandon, P. N., Das, B. S., Thalamic abscess. Neurology (India)22 (1973), 103–105.

    Google Scholar 

  15. Takeuchi, K., Ikeda, S., Kato, A., Kagitani, N., Paradoxic brain abscess in congenital heart disease: Report of a case of complete recovery. J. Neurosurg.17 (1960), 923–924.

    PubMed  Google Scholar 

  16. Taussig, H. B.,et al., Long term observations on the Blalock-Taussig operation. III. Common complications. Johns Hopkins Medical Journal129 (1971), 274.

    PubMed  Google Scholar 

  17. Tyler, H. R., Clark, D. B., Incidence of neurological complications in congenital heart disease. Archs. Neurol. Psychiat. (Chicago)77 (1957), 17–22.

    Google Scholar 

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Bhatia, R., Tandon, P.N., Banerji, A.K. et al. Brain abscess and congenital heart disease. Acta neurochir 33, 233–239 (1976). https://doi.org/10.1007/BF01886672

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