Yoshida Masashi, Matsuda Hideo, Furuya Kenichi
Department of Obstetrics and Gynecology, National Defense Medical College, Saitama, Japan.
J Reprod Infertil. 2013 Jul;14(3):152-5.
Brain abscess in pregnancy is very rare, which mostly progresses to neurological abnormalities.
The patient is a 24-year-old pregnant woman. She was referred to Saitama hospital due to severe headache and nausea on October 2008. Brain MRI detected a 1.5 cm abscess mass with extensive edema in the right frontal lobe. We performed intensive therapy using some antibiotics that included cefotaxime and meropenem and depressants for intracranial pressure for six weeks. There was a good prognosis for the woman and her fetus without any sign of neurological abnormalities.
Early medical intervention is required before it is too late for brain abscess in pregnancy.
妊娠期脑脓肿非常罕见,大多会进展为神经功能异常。
患者为一名24岁孕妇。2008年10月,她因严重头痛和恶心被转诊至埼玉医院。脑部磁共振成像(MRI)检测到右额叶有一个1.5厘米的脓肿肿块,并伴有广泛水肿。我们使用包括头孢噻肟和美罗培南在内的一些抗生素以及颅内压抑制剂进行了六周的强化治疗。该名妇女及其胎儿预后良好,没有任何神经功能异常的迹象。
对于妊娠期脑脓肿,需要尽早进行医学干预,以免为时过晚。