Csécsei G, Hullay J
Arch Otorhinolaryngol. 1975 Nov 30;211(2):139-44.
The results and conclusions of 43 surgical interventions performed on account of oto-rhinogenous brain abscess are reported. In these patients the infection of brain substance occurred in two ways: 1 by contact propagation and 2. per venous reflux, associated with thrombosinusitis. In the 1. the brain abscess was accompanied by purulent meningitis and the majority of the patients died during the postoperative period. In the 2, the patients operated on account of cerebral abscess developed per venous reflux, improved and became health. In order to get more exact localisation of the abscess there are different radiological auxiliary methods available: in supratentorial abscesses exact informations can be obtained by carotid angiography, while in the cases of infratentorial abscesses the pneumography is helpful, notwithstanding the latter is not fully harmless. As the ideal operative solution the total exstirpation of the abscess with undamaged capsule can be proposed.
报告了因耳源性脑脓肿进行的43例外科手术干预的结果和结论。在这些患者中，脑实质感染通过两种方式发生：1. 通过接触传播；2. 经静脉反流，与血栓性鼻窦炎相关。在1. 中，脑脓肿伴有化脓性脑膜炎，大多数患者在术后期间死亡。在2. 中，因脑脓肿接受手术的患者出现经静脉反流，病情改善并康复。为了更精确地定位脓肿，有不同的放射学辅助方法可用：对于幕上脓肿，通过颈动脉血管造影可获得准确信息，而对于幕下脓肿病例，气脑造影是有帮助的，尽管后者并非完全无害。作为理想的手术解决方案，可以提出完整切除脓肿且不损伤包膜。
