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- Title
Comparison of surgical outcomes between primary and secondary brain abscess.
- Authors
Fotakopoulos, George; Gatos, Charalampos; Paterakis, Konstantinos; Georgakopoulou, Vasiliki Epameinondas; Spiliotopoulos, Theodosis; Christodoulidis, Grigorios; Sklapani, Pagona; Trakas, Nikolaos; Kalogeras, Adamantios; Fountas, Kostas N.
- Abstract
Brain abscess (BA) constitutes 1-8% of intra-cerebral tumors, and thus the present study aimed to compare the surgical outcomes of patients with primary and secondary BA. The present retrospective study examined 32 of cases BA who underwent surgery in a local institution between February, 2013 and December, 2023. All patients received intravenous antibiotic therapy according to the antibiogram for antimicrobial susceptibility. In total, 32 patients were separated into two groups as follows: Group A (16 patients, 50%) with primary abscess and group B (16 patients, 50%) with secondary abscess. Of the 32 patients included in the study, 23 (71.8%) were males, and the median age was 55.3 years. On the whole, the present study demonstrates that a multidisciplinary approach involving a combination of often multiple surgical procedures and prolonged antibiotic medication may improve the functional outcome if the underlying pathology allows for a functional outcome.
- Subjects
ANTIBIOTICS; INTRACRANIAL hemorrhage; MORTALITY; BIOPSY; NUCLEAR magnetic resonance spectroscopy; ACADEMIC medical centers; NEUROSURGERY; DISEASE duration; RECEIVER operating characteristic curves; DECOMPRESSIVE craniectomy; COMPUTED tomography; FISHER exact test; MULTIPLE regression analysis; DRUG resistance in microorganisms; TREATMENT effectiveness; RETROSPECTIVE studies; MAGNETIC resonance imaging; GLASGOW Coma Scale; FEVER; MANN Whitney U Test; DESCRIPTIVE statistics; CRANIOTOMY; HUMAN microbiota; INSTITUTIONAL review boards; INTRAVENOUS therapy; DISEASES; LONGITUDINAL method; INTENSIVE care units; STATISTICS; COMPARATIVE studies; BRAIN injuries; TUMORS; LENGTH of stay in hospitals; DATA analysis software; CHLAMYDIALES; HEALTH facilities; CONFIDENCE intervals; BRAIN abscess; BRAIN tumors; CEREBRAL edema; SENSITIVITY &; specificity (Statistics); DIABETES
- Publication
Medicine International (2754-3242), 2024, Vol 4, Issue 4, pN.PAG
- ISSN
2754-3242
- Publication type
Article
- DOI
10.3892/mi.2024.160