Yato S, Muraki N, Kagawa M, Kitamura K
No Shinkei Geka. 1979 Aug;7(8):773-7.
Three cases of brain abscess following an occlusion of the internal carotid artery were reported. Case 1: A 6-year-old girl with congenital heart disease was admitted with headache, disturbance of consciousness and left hemiparesis. Right carotid angiography revealed an occlusion of the right internal carotid artery. After 6 months, she was readmitted with high fever. CT scan revealed a low density area and a ring-like shadow at the same site of cerebral infarction. Case 2: A 69-year-old man was admitted in semicoma and with right hemiplegia. Left angiography revealed an occlusion of the left internal carotid artery. After 2 months, a brain abscess was noted in the infarcted area. Case 3: A 20-year-old man with congenital heart disease, was admitted due to headache, vomiting and high fever. CT scan revealed a brain abscess in the right frontal lobe. Carotid angiography showed bilateral internal carotid artery occlusion. We concluded that diminution of cerebral oxygen and encephalomalacia are predisposing factors to the evolution of brain abscess.
报告了3例颈内动脉闭塞后发生脑脓肿的病例。病例1：一名患有先天性心脏病的6岁女孩因头痛、意识障碍和左侧偏瘫入院。右侧颈动脉血管造影显示右侧颈内动脉闭塞。6个月后，她因高热再次入院。CT扫描显示在脑梗死的同一部位有一个低密度区和一个环状阴影。病例2：一名69岁男性以半昏迷和右侧偏瘫入院。左侧血管造影显示左侧颈内动脉闭塞。2个月后，在梗死区域发现一个脑脓肿。病例3：一名患有先天性心脏病的20岁男性因头痛、呕吐和高热入院。CT扫描显示右额叶有一个脑脓肿。颈动脉血管造影显示双侧颈内动脉闭塞。我们得出结论，脑氧减少和脑软化是脑脓肿形成的易感因素。
