Datta Debajyoti, Sekar Arunkumar
J Neurosurg Case Lessons. 2022 Aug 1;4(5). doi: 10.3171/CASE2252.
Eisenmenger syndrome caused by severe pulmonary arterial hypertension in congenital heart disease can cause multisystemic involvement and is a risk factor for development of cerebral abscess. Cerebral abscess, if not detected and treated in a timely manner, can present as acute neurosurgical emergency.
The authors reported a case of cerebral abscess in a patient with Eisenmenger syndrome. The patient presented with acute neurological deterioration with mass effect and cerebral infarcts and received emergency neurosurgical intervention. A further literature search was done to identify prior reported cases of cerebral abscess with Eisenmenger syndrome.
Patients with Eisenmenger syndrome have compromised cardiorespiratory status, and decision for neurosurgical intervention should be given careful consideration. Multidisciplinary team management along with preoperative optimization of the patient should be used.
先天性心脏病所致的严重肺动脉高压引起的艾森曼格综合征可导致多系统受累，是脑脓肿发生的危险因素。脑脓肿若未及时发现和治疗，可表现为急性神经外科急症。
作者报告了1例艾森曼格综合征患者发生脑脓肿的病例。该患者出现急性神经功能恶化，伴有占位效应和脑梗死，并接受了急诊神经外科干预。进一步进行文献检索以确定先前报道的艾森曼格综合征合并脑脓肿的病例。
艾森曼格综合征患者的心肺功能受损，神经外科干预决策应谨慎考虑。应采用多学科团队管理并对患者进行术前优化。
