Türk Nöroşirürji Dergisi 2015 , Vol 25 , Num 3
Brain Abscess Developing at the Site of Intracerebral Hemorrhage After Non-Penetrating Head Trauma
Fatih AYDEMİR1, Aykan AKAR2, Cem YILMAZ3
1Özel Medicalpark Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Bursa, Türkiye
2Özel İskenderun Gelişim Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Hatay, Türkiye
3Başkent Üniversitesi Hastanesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye
Brain abscesses are serious infections of brain parenchyma, requiring urgent surgical drainage and high-dose antibiotic therapy. The mortality rate for a brain abscess ranges from 5 to 15%. Brain abscesses develop by direct or hematogenous spread. Abscess formation after intracerebral hematoma untreated surgically or non-penetrating head injury is extremely rare. Generally; brain abscess formation depends on the hematogenous spread of infection in another region or sepsis, due to blood-brain barrier disruption. We present abscess formation due to systemic infection at the side of intracerebral hematoma after non-penetrating head injury. Immunsuppressive eff ects of long-term, high-dose corticosteroids should be considered in ICH. Early treatment should be administered for the risk of systemic infections and hematogenous spread that can cause a brain abscess. Anahtar Kelimeler : Brain abscess, Non-Penetrating trauma, Intracerebral hemorrhage