Lau D W, Klein N C, Cunha B A
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501.
Heart Lung. 1989 Nov;18(6):634-7.
We review our experience with brain abscesses presenting as primary brain tumor over a 5-year period (1983 to 1988). Four of 66 (6%) patients admitted with the diagnosis of primary brain tumor by computed tomographic scans were found at craniotomy to have brain abscesses. Periapical abscesses found after surgery were determined to be the cause of brain abscess in two of four patients. Our experience suggests that periapical abscess may be a more frequent cause of brain abscess than previously thought, and should be considered before surgery in patients with a suspected brain tumor.
我们回顾了1983年至1988年这5年间将脑脓肿误诊为原发性脑肿瘤的病例。66例经计算机断层扫描诊断为原发性脑肿瘤而入院的患者中，有4例（6%）在开颅手术时被发现患有脑脓肿。4例患者中有2例术后发现根尖周脓肿是脑脓肿的病因。我们的经验表明，根尖周脓肿可能是脑脓肿比以往认为的更常见的病因，对于疑似脑肿瘤的患者，术前应予以考虑。
