Kanaya Kohei, Horiuchi Tetsuyoshi
Department of Neurosurgery, Shinshu University School of Medicine.
No Shinkei Geka. 2022 Sep;50(5):933-941. doi: 10.11477/mf.1436204652.
Brain abscesses can be caused by bacteria, mycobacteria, fungi, or parasites. The incidence of brain abscess varies from 0.4 to 0.9 cases per 100,000 population. The rate of infection increases in immunosuppressed patients. Approximately 25% of brain abscesses occur in children. Outcomes for patients with brain abscesses have improved over the past 50 years. Despite the advantages in diagnostics and treatment leading to improved outcomes in patients with brain abscess, the overall outcome and quality of life issues in patients with brain abscess remain a challenge in neurosurgery. In this article, the etiology, pathogenesis, diagnostic imaging, and treatment of brain abscesses are discussed.
脑脓肿可由细菌、分枝杆菌、真菌或寄生虫引起。脑脓肿的发病率为每10万人中有0.4至0.9例。免疫抑制患者的感染率会增加。约25%的脑脓肿发生在儿童身上。在过去50年中，脑脓肿患者的治疗结果有所改善。尽管在诊断和治疗方面的进步使脑脓肿患者的治疗结果得到了改善，但脑脓肿患者的总体治疗结果和生活质量问题在神经外科领域仍然是一项挑战。本文将讨论脑脓肿的病因、发病机制、诊断性影像学检查及治疗方法。
