Tratamento dos abscessos intracranianos por trepanopunção

Facure, J. Jorge; Facure, Nubor O.; Cruz, Joaquim N.; Castro, Luiz F.

doi:10.1590/S0004-282X1972000400005

Resumos

São relatados os casos de 9 pacientes com abscessos intracranianos submetidos à aspiração. Apenas um paciente faleceu. Dois apresentaram seqüelas: um com hemiparesia e outro com convulsões focais. Em 5 casos foi feita cirurgia de urgência com alívio imediato da hipertensão intra-craniana.

The cases of nine pacients with intracranial abscess operated on by aspiration are reported. Only one patient did not survive. One pacient developed postoperative seizures and, another, hemiparesis. In 5 cases it was necessary a relief of increased intracranial pressure by neurosurgical emergency.

Tratamento dos abscessos intracranianos por trepanopunção

Surgical treatment of intracranial abscesses by tapping

J. Jorge Facure^I; Nubor O. Facure^I; Joaquim N. Cruz^II; Luiz F. Castro^II

^IDepartamento de Neurologia da Faculdade de Ciências Médicas da UNICAMP (Prof. Oswaldo Freitas Julião): Assistentes

^IIDepartamento de Neurologia da Faculdade de Ciências Médicas da UNICAMP (Prof. Oswaldo Freitas Julião): Médicos residentes

RESUMO

São relatados os casos de 9 pacientes com abscessos intracranianos submetidos à aspiração. Apenas um paciente faleceu. Dois apresentaram seqüelas: um com hemiparesia e outro com convulsões focais. Em 5 casos foi feita cirurgia de urgência com alívio imediato da hipertensão intra-craniana.

SUMMARY

The cases of nine pacients with intracranial abscess operated on by aspiration are reported. Only one patient did not survive. One pacient developed postoperative seizures and, another, hemiparesis. In 5 cases it was necessary a relief of increased intracranial pressure by neurosurgical emergency.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Clinica Neurológica Faculdade de Ciências Médicas Universidade Estadual Caixa Postal 1170 13100 Campinas, SP Brasil.

1. BALLANTINE Jr., H. T. & SHEALEY, C. N. The role of radical surgery in the treatment of abscess of the brain. Surg. Gynec. Obstet. 109:370, 1959.
2. CAREY, M. E.; CHOU, S. N. & FRENCH, L. A. Long-term neurological residua in patients surviving brain abscess with surgery. J. Neurosurg. 34:652, 1971.
3. CAREY, M. E.; CHOU, S. N. & FRENCH, L. A. Experience with brain abscesses. J. Neurosurg. 36:1, 1972.
4. DANDY, W. E. Treatment of chronic abscess of the brain by tapping. J. amer. med. Ass. 87:1477, 1926.
5. DAVIS, D. O. & POTCHEN, E. J. Brain scanning and intracranial inflamatory disease. Radiology 95:345, 1970.
6. GARFIELD, J. Management of supratentorial intracraneal abscess: a review of 200 cases. Brit. Med. J. 2:7, 1969.
7. GURDJIAN, E. S. & WEBSTER, J. E. Observations on standardizing the surgical management of intracranial suppuration. J. Neurosurg. 5:1, 1948.
8. HITCHCOCK, E. & ANDREADIS, A. Subdural empyema: a review of 29 cases. J. Neurol. Neurosurg. Psychiat. 27:422, 1964.
9. HORWITZ, N. H. & RIZZOLI, H. V. Postoperative Complications in Neurosurgical Practice. Waverly Press Inc., Baltimore, 1967, pp. 186-204.
10. JOOMA, O. V.; PENNYBACKER, J. B. & TUTTON, G. K. Brain abscess: aspiration, drainage or excision. J. Neurol. Neurosurg. Psychiat. 14:308, 1951.
11. JORDAN, C. E.; JAMES Jr., E. & HODGES, F. Comparison of the cerebral angiogram and the brain radionuclide image in brain abscess. Radiology 104: 327, 1972.
12. KEITH, W. S. Subdural empyema. J. Neurosurg. 6:127, 1949.
13. LE BEAU, J. Radical surgery and penicillin in brain abscess. A method of treatment in one stage with special reference to the cure of three thoracogenic cases. J. Neurosurg. 3:359, 1946.
14. LE BEAU, J. Traitement chirurgical de l'empyčme sous-dural et sous-arachnoidien. Rev. neurol. (Paris) 81:828, 1949.
15. LE BEAU, J.; CREISSARD, P. & REDONDO, A. Sur le pronostic des abcčs du cerveau. Neuro-Chirurgie. 18:13, 1972.
16. LEWIN, W. Recent developments in the management of brain abscess. Brit. Med. J. 1:631, 1955.
17. LIST, C. F. Diagnosis and treatment of acute subdural empyema. Neurology (Minneapolis) 5:663, 1955.
18. NORTHCROFT, G. B. & WYKE, B. D. Seizures following surgical treatment of intracranial abscesses. A clinical and electroencephalographic study. J. Neurosurg. 14:249, 1957.
19. PENNYBACKER, J. Cerebellar abscess. Treatment by excision with aid of antibiotics. J. Neurol. Neurosurg. Psychiat. 11:1, 1948.
20. PORTUGAL, J. R. Clínica dos abscessos cerebrais. J. Brasileiro de Neurologia 1:25, 1949.
21. VAN DER WERF, A. J. M. & NOORDENBOR, W. Drainage fractionné des abcčs encéphaliques. Neuro-Chirurgie (Paris) 6:625, 1960.

Datas de Publicação

Publicação nesta coleção
18 Abr 2013
Data do Fascículo
Dez 1972

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BALLANTINE Jr., H. T. & SHEALEY, C. N. The role of radical surgery in the treatment of abscess of the brain. Surg. Gynec. Obstet. 109:370, 1959.

[2] 2. CAREY, M. E.; CHOU, S. N. & FRENCH, L. A. Long-term neurological residua in patients surviving brain abscess with surgery. J. Neurosurg. 34:652, 1971.

[3] 3. CAREY, M. E.; CHOU, S. N. & FRENCH, L. A. Experience with brain abscesses. J. Neurosurg. 36:1, 1972.

[4] 4. DANDY, W. E. Treatment of chronic abscess of the brain by tapping. J. amer. med. Ass. 87:1477, 1926.

[5] 5. DAVIS, D. O. & POTCHEN, E. J. Brain scanning and intracranial inflamatory disease. Radiology 95:345, 1970.

[6] 6. GARFIELD, J. Management of supratentorial intracraneal abscess: a review of 200 cases. Brit. Med. J. 2:7, 1969.

[7] 7. GURDJIAN, E. S. & WEBSTER, J. E. Observations on standardizing the surgical management of intracranial suppuration. J. Neurosurg. 5:1, 1948.

[8] 8. HITCHCOCK, E. & ANDREADIS, A. Subdural empyema: a review of 29 cases. J. Neurol. Neurosurg. Psychiat. 27:422, 1964.

[9] 9. HORWITZ, N. H. & RIZZOLI, H. V. Postoperative Complications in Neurosurgical Practice. Waverly Press Inc., Baltimore, 1967, pp. 186-204.

[10] 10. JOOMA, O. V.; PENNYBACKER, J. B. & TUTTON, G. K. Brain abscess: aspiration, drainage or excision. J. Neurol. Neurosurg. Psychiat. 14:308, 1951.

[11] 11. JORDAN, C. E.; JAMES Jr., E. & HODGES, F. Comparison of the cerebral angiogram and the brain radionuclide image in brain abscess. Radiology 104: 327, 1972.

[12] 12. KEITH, W. S. Subdural empyema. J. Neurosurg. 6:127, 1949.

[13] 13. LE BEAU, J. Radical surgery and penicillin in brain abscess. A method of treatment in one stage with special reference to the cure of three thoracogenic cases. J. Neurosurg. 3:359, 1946.

[14] 14. LE BEAU, J. Traitement chirurgical de l'empyčme sous-dural et sous-arachnoidien. Rev. neurol. (Paris) 81:828, 1949.

[15] 15. LE BEAU, J.; CREISSARD, P. & REDONDO, A. Sur le pronostic des abcčs du cerveau. Neuro-Chirurgie. 18:13, 1972.

[16] 16. LEWIN, W. Recent developments in the management of brain abscess. Brit. Med. J. 1:631, 1955.

[17] 17. LIST, C. F. Diagnosis and treatment of acute subdural empyema. Neurology (Minneapolis) 5:663, 1955.

[18] 18. NORTHCROFT, G. B. & WYKE, B. D. Seizures following surgical treatment of intracranial abscesses. A clinical and electroencephalographic study. J. Neurosurg. 14:249, 1957.

[19] 19. PENNYBACKER, J. Cerebellar abscess. Treatment by excision with aid of antibiotics. J. Neurol. Neurosurg. Psychiat. 11:1, 1948.

[20] 20. PORTUGAL, J. R. Clínica dos abscessos cerebrais. J. Brasileiro de Neurologia 1:25, 1949.

[21] 21. VAN DER WERF, A. J. M. & NOORDENBOR, W. Drainage fractionné des abcčs encéphaliques. Neuro-Chirurgie (Paris) 6:625, 1960.