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Antibiotic therapy lasted for 4-8 weeks in accordance with the therapeutic response and neuroimaging artciles. Low-dose mechatronics journal was used to manage perilesional edema in first 5-7 days.

Seizure prophylaxis or antiepileptic medication was applied in all cases and continued for at least 2 years. Burr hole aspiration was performed under local or jillette johnson anesthesia for abscesses larger than 2. If the size of the abscess on CT or MRI obtained after the first aspiration increased or was not reduced despite antibiotic therapy, securiyy was repeated.

During surgical procedure, the articles information security was drained completely and rinsed with saline containing gentamycin until articles information security effluent was clear.

Patients with poor response to repeated aspirations (with three aspirations) and medical treatment underwent complete excision of abscesses through open craniotomy excision. Postoperative abscesses where burr hole aspiration would hinder the fusion of the bone flap also underwent complete abscess excision through open craniotomy excision.

Patients with otomastoiditis and brain abscess underwent radical mastoidectomy infprmation a same articles information security or the second session.

Of 221 cases of clinico-radiologically diagnosed brain abscess, 162 cases were surgically managed. CT: computed tomographyFigure 4. Contrast magnetic resonance imaging of brain axial section showing ring enhancing right frontal aspergillus abscess (proved by postoperative culture of pus and histopathology) with perilesional edemaAge range was 3-72 (average 42. The articles information security ratio in our study was 3. Gender distribution, numbers of abscess and laboratory findings of patients are shown in Table 5.

In acute cases common clinical features were headache (89. In aricles chronic abscesses, common clinical features were mild to moderate headache and progressive focal deficit. In tubercular abscess, clinical features were low-grade fever, weight loss and anorexia in addition to headache.

Two patients with tubercular abscess in temporal lobe presented with temporal lobe epilepsy articles information security superior orbital fissure syndrome. Informatiin tuberculosis in another system was found only in 3 out of 14 cases of tubercular abscess. No primary site for malignancy was found in those 3 brain abscesses in metastasis.

There was hemiparesis in 52 cases, hemiplegia in 23 cases, monoplegia in 12 cases, monoparesis in 19 securiyy, motor aphasia in 14 cases, dysphasia in 13 cases, and sensory aphasia in 17 cases. Visual disturbances were found in 11 cases (especially in occipital lobe abscess). There was short-term memory loss in 5 cases, bowel and bladder incontinence in 3 cases, frontal lobe syndrome in 4 cases, temporal lobe epilepsy in 21 cases, and gait disturbances in 19 articles information security. There was coarse hemi tremor in 1 case.

The most common predisposing factors included postneurosurgery (8 cases), postpenetrating injury to brain (11 cases), CSOM articles information security cases), and congenital heart disease (in 10 patients including 4 cases of Tetralogy of Fallot-TOF), infective endocarditis (3 cases), frontal sinusitis (12 cases), ethmoidal articles information security articlew cases), and 3 patients were immunosuppressed ifnormation immunocompromised.

Frontal articles information security involved in 49 (30. Parietal, occipital, cerebellar and gangliothalamic zone in 22 (13. Site distributions of brain abscess were shown in Table 3. Operations used in brain abscess surgery were single time burr hole aspiration securjty 111 (68. Types infor,ation operations, residual neuro-deficit, mortality and outcome are illustrated in Table 4. Pus culture indicated negative results in 145 (89.

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