Ibrahim A W, al-Rajeh S M, Chowdhary U M, Ammar A
Neurosurgery Department, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
Neurosurg Rev. 1990;13(2):103-7. doi: 10.1007/BF00383649.
There are significant variations among countries in the incidence of brain abscess. We report here 26 cases of brain abscess treated at the Neurosurgery Department of King Faisal University and Dammam Central Hospital Saudi Arabia over a six year period (1982-1988). This is 2.3% of total admissions to the two neurosurgery departments serving a population of approximately 1.2 million in the same period. Young males were most often affected (M/F ratio 3.3:1; 31% were less than 15 years old, 46% aged between 15-39 years, and 23% older than 40 years). Streptococcus was found to be the most common microorganism (38.4%). Mixed infection was seen in 15.3%, and sterile abscesses were found in 11.5% of the patients after aerobic and anaerobic cultures of the pus. Chronic otitis media and paranasal sinusitis predisposed the patients to abscess formation in 57.6% of the cases. The temporo-parietal area was the commonest site. Epilepsy was a complication in 30.7% of our patients, and the mortality rate was 15.3%.
各国脑脓肿的发病率存在显著差异。我们在此报告沙特阿拉伯费萨尔国王大学神经外科和达曼中心医院在六年期间（1982 - 1988年）治疗的26例脑脓肿病例。这占同期为约120万人口服务的两个神经外科总住院人数的2.3%。年轻男性最常受影响（男女比例为3.3:1；31%年龄小于15岁，46%年龄在15 - 39岁之间，23%年龄大于40岁）。发现链球菌是最常见的微生物（38.4%）。15.3%的患者出现混合感染，在对脓液进行需氧和厌氧培养后，11.5%的患者发现无菌性脓肿。慢性中耳炎和鼻窦炎在57.6%的病例中使患者易形成脓肿。颞顶区是最常见的部位。癫痫是30.7%患者的并发症，死亡率为15.3%。
