Wang Taylor, Uddin Asif, Mobarakai Neville, Gilad Ronit, Raden Mark, Motivala Soriaya
Department of Medicine, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
Department of Neurosurgery, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
IDCases. 2020 Jul 24;21:e00916. doi: 10.1016/j.idcr.2020.e00916. eCollection 2020.
Brain abscesses are an uncommon but potentially fatal infection. They can spread directly from an adjacent source or hematogenously from a distant source. Encephaloceles represent a rare form of neural tube defects that can potentially be complicated by the development of meningitis or brain abscess. We report a case of a 63-year-old female who presented with bilateral lower extremity weakness and was ultimately found to have a subdural empyema and an associated frontal lobe encephalocele extending through the left frontal sinus. She was treated with surgical drainage, intravenous antimicrobials, and ultimately surgical repair of the encephalocele. This report highlights a unique presentation of brain abscess. Clinicians should be aware of this potential infectious complication of a neural tube defect.
脑脓肿是一种罕见但可能致命的感染。它们可直接从邻近部位扩散，或从远处经血行传播。脑膨出是神经管缺陷的一种罕见形式，可能并发脑膜炎或脑脓肿。我们报告一例63岁女性，表现为双侧下肢无力，最终发现患有硬膜下积脓及相关的额叶脑膨出，该脑膨出经左额窦延伸。她接受了手术引流、静脉使用抗菌药物治疗，最终进行了脑膨出的手术修复。本报告强调了脑脓肿的一种独特表现。临床医生应意识到神经管缺陷的这种潜在感染性并发症。
