Kutty Raja K, Sreemathyamma Sunilkumar Balakrishnan, Sivanandapanicker Jyothish Laila, Vijayan Abhishek, Asher Prasanth, Peethambaran Anilkumar
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Asian J Neurosurg. 2020 Aug 28;15(3):781-785. doi: 10.4103/ajns.AJNS_51_20. eCollection 2020 Jul-Sep.
Stroke is a significant health problem in both developed and developing nations. The treatment strategies of stroke differ among various centers depending on the available expertise. Nevertheless, stroke contributes to a major economic burden for patients and health institutions. The recovery period after stroke is a critical period wherein various complications can develop in survivors. Among these multiple complications, the formation of brain abscess in the infarcted brain tissue is rare and less well described in the literature. Fever or signs of raised intracranial pressure are the usual manifestation of poststroke brain abscess. We present two unique cases of large brain abscess in patients who survived a malignant stroke. Both the patients were recuperating well after decompressive craniectomy for stroke without any signs of intracranial infection or raised intracranial pressure. Both the patients underwent open drainage of brain abscess, followed by delayed cranioplasty. There are only a few cases of brain abscess reported in the literature in patients who underwent decompressive craniectomy for stroke.
中风在发达国家和发展中国家都是一个重大的健康问题。中风的治疗策略因各中心现有的专业知识不同而有所差异。尽管如此，中风给患者和医疗机构带来了重大的经济负担。中风后的恢复期是一个关键时期，在此期间幸存者可能会出现各种并发症。在这些多种并发症中，梗死脑组织中形成脑脓肿的情况较为罕见，且文献中对此描述较少。发热或颅内压升高的迹象是中风后脑脓肿的常见表现。我们报告了两例恶性中风幸存者发生大脑脓肿的独特病例。两名患者在接受中风减压颅骨切除术后恢复良好，没有任何颅内感染或颅内压升高的迹象。两名患者均接受了脑脓肿开放引流，随后进行了延迟颅骨成形术。文献中报道的因中风接受减压颅骨切除术的患者发生脑脓肿的病例很少。
