非耳源性脑脓肿
Non-otogenic cerebral abscess.
作者信息
Martin G
出版信息
J Neurol Neurosurg Psychiatry. 1973 Aug;36(4):607-10. doi: 10.1136/jnnp.36.4.607.
Abstract
Non-otogenic cerebral abscess is becoming relatively more frequent compared with otogenic. It arises in a setting of sepsis, trauma, or congenital heart disease. The onset presents a meningo-encephalitic picture, often with two stages, followed by epilepsy and/or a hemiparesis. The best investigations are an EEG and, probably, an isotope scan. The angiogram may be misleading as 40% may not have a midline shift. 'Acute localized non-suppurative encephalitis' seems to be more frequent than in the past. Antibiotics and aspiration appear to be the best treatment.
摘要
与耳源性脑脓肿相比，非耳源性脑脓肿正变得相对更为常见。它发生于败血症、创伤或先天性心脏病的情况下。起病时呈现脑膜脑炎的表现，通常有两个阶段，随后出现癫痫和/或偏瘫。最佳的检查方法是脑电图，可能还有同位素扫描。血管造影可能会产生误导，因为40%的患者可能没有中线移位。“急性局限性非化脓性脑炎”似乎比过去更为常见。抗生素和穿刺抽吸似乎是最佳的治疗方法。
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J Neurol Neurosurg Psychiatry. 1973 Aug;36(4):607-10. doi: 10.1136/jnnp.36.4.607.
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本文引用的文献
1
Localized encephalitis, brain abscess and subdural empyema.局限性脑炎、脑脓肿和硬脑膜下积脓。
J Neurosurg. 1952 Jul;9(4):348-66. doi: 10.3171/jns.1952.9.4.0348.
2
Cerebral angiography in abscess of the temporal lobe.
Br J Surg. 1951 Sep;39(154):156-65. doi: 10.1002/bjs.18003915409.
3
Intracranial abscess. The shape of things to come?颅内脓肿。未来的趋势？
Br Med J. 1963 Jun 1;1(5343):1455-8. doi: 10.1136/bmj.1.5343.1455.
4
Cerebrospinal fluid in various diseases.各种疾病中的脑脊液。
Br Med J. 1958 Mar 15;1(5071):618-20. doi: 10.1136/bmj.1.5071.618.
5
Haematogenous brain abscess in cyanotic congenital heart disease.
Q J Med. 1956 Apr;25(98):201-20.
6
Brain abscess in children with congenital heart disease. I.先天性心脏病患儿的脑脓肿。一、
J Neurosurg. 1965 Dec;23(6):588-95. doi: 10.3171/jns.1965.23.6.0588.
7
Supratentorial intracranial abscess.幕上颅内脓肿
Br Med J. 1969 May 3;2(5652):310-1. doi: 10.1136/bmj.2.5652.310-b.
8
Lumbar puncture in the presence of raised intracranial pressure.颅内压升高时的腰椎穿刺。
Br Med J. 1969 Feb 15;1(5641):407-9. doi: 10.1136/bmj.1.5641.407.
9
Management of supratentorial intracranial abscess: a review of 200 cases.幕上颅内脓肿的治疗：200例病例回顾
Br Med J. 1969 Apr 5;2(5648):7-11. doi: 10.1136/bmj.2.5648.7.
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