Tavora L, Antunes J L
Department of Neurosurgery, University of Lisbon, Portugal.
Neurosurgery. 1987 Dec;21(6):923-7. doi: 10.1227/00006123-198712000-00025.
The cases of seven children, all under 6 months of age, with cerebral abscesses are presented. In four cases, there was previous meningitis; the others presented with expanding mass lesions. The infectious agent was Proteus in four cases and Escherichia coli and Citrobacter in one each; in another patient, no agent was isolated. In six children, there were multiple areas of ischemic necrosis. In one instance, these areas were in the hemisphere contralateral to the purulent collection. The peculiar clinical, diagnostic, and therapeutic aspects of brain abscesses in this age group are discussed.
本文报告了7例6个月以下儿童脑脓肿的病例。其中4例曾患脑膜炎,其他病例表现为进行性增大的占位性病变。4例感染病原体为变形杆菌,1例为大肠杆菌,1例为柠檬酸杆菌;另有1例未分离出病原体。6例患儿存在多处缺血性坏死区域。其中1例,这些区域位于与脓性病灶对侧的半球。本文讨论了该年龄组脑脓肿独特的临床、诊断和治疗方面。