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         Cerebral Abscess:     more detail
  1. Cerebral abscess ; its etiology, pathology, diagnosis and treatment including anatomy and physiology of the cerebellum by Isidore Friesner, Alfred Braun, 2010-05-13
  2. Multiple bilateral cerebral abscesses with hemorrhage.: An article from: Journal of Neuroscience Nursing by Carol K. Baumann, 1997-02-01
  3. A case of cerebral amoebic abscess treated by modern chemotherapy by E. A Turner, 1948
  4. Glasgow Medical Journal, Volume 28 by Royal Medico-Chirurgical Society of Glasgow Glasgow and West of Scotland Medical Association, 2009-08-16
  5. Experimental traumatic cerebral cysts in the rabbit by Murray A Falconer, 1943

81. Cerebral Abscess Associated With An Intrauterine Contraceptive Device -- Kum And
cerebral abscess associated with an intrauterine contraceptive device. N Kum andD Charles. The present communication is the first report of a metastatic
http://www.greenjournal.org/cgi/content/abstract/54/3/375
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Cerebral abscess associated with an intrauterine contraceptive device
N Kum and D Charles The present communication is the first report of a metastatic brain abscess occurring as a complication of severe intrauterine device (IUD)-related pelvic inflammatory disease (PID). The diagnostic and therapeutic problems are discussed, and a suggestion is made for the reporting of all IUD-associated infections to a central agency.
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82. Baylor Neurology Case Of The Month
or other predisposition to cerebral abscess formation such as a valvular multifocal cerebral abscesses and a possible neighborhood exposure,
http://www.bcm.edu/neurology/challeng/pat64/summary.html
Patient #64
Summary and Discussion
Yvonne Kew, M.D., Ph.D.
Diagnosis:
Klebsiella pneumoniae brain abscesses, with purulent meningoencephalitis,
in a Patas monkey ( Erythrocebus patas
CASE DISCUSSION: About the Case:

Klebsiella pneumonia, or other predisposition to cerebral abscess formation such as a valvular vegetation or pulmonary arteriovenous fistula, was found at necropsy. Klebsiella pneumoniae Infections of the Primate CNS:
Klebsiella pneumoniae is not unusual in human neonates and infants, brain abscess formation is quite uncommon in these age groups (Basu et al., 2001). In contrast, Klebsiella pneumoniae infections are a major cause of morbidity and mortality in captive-bred, apparently immunocompetent nonhuman primates, even beyond the period of infancy. In some colonies, infection by Klebsiella pneumoniae is the leading cause of death (Postal et al., 1988). Transmission of organisms is believed to occur predominantly via fecal-oral routes, and colonization is believed to occur well before deep invasion of organisms in many cases (e.g., Kolodynski et al., 1989). Due to the substantial interest in maintaining healthy nonhuman primate colonies for zoological research, and for animal models of numerous human disorders, a capsular polysaccharide vaccine has been developed (e.g., Postal et al., 1988). Unfortunately, multidrug antibiotic resistance is common in organisms isolated from colonies of nonhuman primates, and the mortality associated with established

83. From The Grand Rounds Archive At Baylor
Exceptions include cerebral abscess and epidural abscess near a focus of cerebral abscess may be treated by high dose antibiotics and drainage of
http://www.bcm.edu/oto/grand/71395.html
Grand Rounds Archives
The information contained within the Grand Rounds Archive is intended for use by doctors and other health care professionals. These documents were prepared by resident physicians for presentation and discussion at a conference held at The Baylor College of Medicine in Houston, Texas. No guarantees are made with respect to accuracy or timeliness of this material. This material should not be used as a basis for treatment decisions, and is not a substitute for professional consultation and/or peer-reviewed medical literature. COMPLICATIONS OF SINUSITIS
July 13, 1995
Carla M. Giannoni, M.D. Orbital complications Sinonasal disease accounts for the majority of orbital infections (up to 85%). Ethmoid sinuses are almost always implicated in orbital disease; maxillary and frontal sinuses may also be involved. Spread may be direct with erosion of the lamina or through a prior fracture or by thrombophlebitic spread into the orbit. Orbital complications as staged by Chandler (1970) are: preseptal cellulitis, orbital cellulitis, subperiosteal abscess, orbital abscess, and cavernous sinus thrombosis (dural thrombophlebitis). Preseptal cellulitis is an inflammation and infection of the eyelids, outside the orbital septum. Orbital cellulitis is a diffuse infiltration of bacteria and inflammatory cells in the orbit. A subperiosteal abscess is a collection of pus between the periorbita and the bony orbit walls. Orbital abscess refers to a discrete collection of pus within the orbital tissues; systemic symptoms are common and orbital apex syndrome may occur. Cavernous sinus thrombosis is a late stage and highly morbid disease. Infection is spread posteriorly through the venous channels; patients have proptosis, ophthalmoplegia, decreased visual acuity, paplliedema, dilated pupil, mental status decline, and superior orbital fissure syndrome; bilateral symptoms herald this entity.

84. Statesman.com
Abscess brain; cerebral abscess; CNS abscess. Definition. A brain abscess isa lesion caused by inflammation and infected material (pus) within the brain
http://www.statesman.com/health/healthfd/shared/health/adam/ency/article/000783.
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Disease B Brain abscess Overview Symptoms Treatment Prevention Alternative names: Abscess - brain; Cerebral abscess; CNS abscess Definition: A brain abscess is a lesion caused by inflammation and infected material (pus) within the brain tissue. Causes and Risks A brain abscess is usually caused when bacteria such as staphylococci and streptococci infect part of the brain. In response to the infection, there is inflammation and death of some of the tissues in the brain. Fluid, destroyed tissue cells, white blood cells, and live and dead microorganisms collect and form a mass. This mass usually becomes enclosed by a membrane that forms around it.
The brain swells in response to the inflammation, and the mass may put pressure on the the brain. Infected material can block the blood vessels of the brain, further damaging brain tissues. The pressure within the brain rises, causing more damage and problems.

85. UpToDate Anaerobic Bacterial Infections
The exception is cerebral abscess associated with endocarditis or cyanotic heartdisease in Occasional cerebral abscesses involve Actinomyces species.
http://patients.uptodate.com/topic.asp?file=bact_inf/34691&title=Brain Tumors

86. Radiology In Ped Emerg Med, Vol 5, Case 8
In addition to epidural or cerebral abscess, the same mechanism applies Low frequency delta waves commonly signify a cerebral abscess (slow wave foci).
http://www.hawaii.edu/medicine/pediatrics/pemxray/v5c08.html
Fever and Lethargy in an Infant
Radiology Cases in Pediatric Emergency Medicine
Volume 5, Case 8
Leo U. Pascua, MD
Kapiolani Medical Center For Women And Children
University of Hawaii John A. Burns School of Medicine
These two cuts from his CT scan series show multiple 2-3 cm diameter loculated cystic lesions consistent with multiple abscesses (dark areas with rims of enhancement). There is distention of the posterior fossa with a midline shift toward the right. There is no sign of cribiform fracture or mastoiditis. He is admitted to the intensive care unit where infectious disease and neurosurgical consultations are obtained. His initial work-up includes a CBC and chemistry. A chest radiograph and an abdominal radiograph are performed to look for signs of other abscesses. Admission labs: Na 141, K 3.4, Cl 99, bicarb 25, gluc 127, Ca 10.3, phos 5.3, Alb 3, SGPT 8, SGOT 22, BUN 10, creatinine 0.2. WBC 23.2 (49% segs, 14% bands, 7% monos, 28% lymphs). Hgb/Hct 9/37. Platelets 474,000. His chest radiograph is normal. View abdominal flat plat. Return to Radiology Cases In Ped Emerg Med Case Selection Page
Return to Univ. Hawaii Dept. Pediatrics Home Page

87. Health/Conditions And Diseases/Neurological Disorders/Brain Diseases/Cerebral Ab
Image of cerebral abscess. url www.vh.org/Providers/TeachingFiles/CNSInfDisR2/Tex mozilla.org url www.mozilla.org/; Wikipedia url en.wikipedia.org/
http://www.thedoctorslounge.net/dir/Health/Conditions_and_Diseases/Neurological_
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  • report abuse/spam url: report-abuse.dmoz.org/?cat=Health/Conditions_and_D... Emergency Medicine An in depth look at brain abscess, beginning with an introduction. Authored by William Ernoehazy, Jr, MD, FACEP. url: www.emedicine.com/emerg/topic67.htm An article written by Richard Robinson about brain abscess. Offers a definition, description, causes, symptoms, diagnosis, treatment and prognosis. url: www2.vhi.ie/topic/topic100586545 Virtual Hospital: Infectious Diseases of the Central Nervous System Image of cerebral abscess. url: www.vh.org/Providers/TeachingFiles/CNSInfDisR2/Tex... mozilla.org url: www.mozilla.org/
  • 88. Brain Abscess
    and other material that can occur when the brain is infected by bacteria orfungus. Alternative Names. Abscess brain; cerebral abscess; CNS abscess
    http://www.healthscout.com/ency/1/000783.html
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    Brain abscess
    Injury Disease Nutrition Poison ... Prevention
    Brain abscess
    Definition: A brain abscess is a mass of immune cells, pus, and other material that can occur when the brain is infected by bacteria or fungus.
    Alternative Names: Abscess - brain; Cerebral abscess; CNS abscess
    Causes, incidence, and risk factors: Brain abscesses commonly occur when bacteria or fungi infect part of the brain. Inflammation develops in response. Infected brain cells, white blood cells, and live and dead microorganisms collect in a limited area of the brain. This area becomes enclosed by a membrane that forms around it and creates a mass. While this immune response can protect the brain by isolating the infection, it can also do more harm than good. The brain swells in response to the inflammation, and the mass may put pressure on delicate brain tissue. Infected material can block the blood vessels of the brain, further damaging tissues by causing cell death and swelling of additional cells. Multiple abcesses are uncommon except in immunocompromised patients.

    89. Radiography
    cerebral abscess Back to Pictures . Prev Next Add Photos. cerebral abscess.jpg Postedby dr_rahul2000 on 7/6/2001, 7KB
    http://groups.msn.com/radiography/shoebox.msnw?action=ShowPhoto&PhotoID=2

    90. Amoebic Liver Abscess By Dr. O.P. Kapoor
    The symptoms of an amoebic cerebral abscess simulate a pyogenic cerebral abscess, Huard collected 59 cases of amoebic cerebral abscess all of which
    http://www.bhj.org/books/liver/s6c01.htm
    UNCOMMON COMPLICATIONS CHAPTER CONTENTS General Complications
    Local complications
    Complications of associated colon lesions
    Iatrogenic complications
    The complications of an amoebic liver abscess can be so widespread that it can involve any part of the body. The following complications are encountered less often than those which have already been discussed. Evidently the surgeons and pathologists are more familiar with the rare type of complications.
    Involvement of organs distant from the liver, beyond doubt, is due to the blood-borne infection. Such a distribution does not follow any set pattern as regards the frequency, site, number of lesions and their severity. Post-mortem studies have enlightened us to a great extent as to the site, number and frequency of the rare types of the lesions.
    The complications of an amoebic liver abscess can be divided into AA) General complications (B) Local complications.

    91. KMU Pathology Lab¡mSlide 4.¡nBrain Abscess, Cerebrum
    Emboli cerebral abscess from infected foci in body 40%. Direct extension ofcerebral abscess from adjacent infected foci. Relate to cerebral trauma, 30%.
    http://pathology.class.kmu.edu.tw/ch01/Slide4.htm
    ¡m Slide ¡n Brain abscess Cerebrum A. Brief Descriptions ¡G
  • Types:
    • Emboli cerebral abscess from infected foci in body 40%. Direct extension of cerebral abscess from adjacent infected foci. Relate to cerebral trauma, 30%. Idiopathic abscess, 20%.
    Stages :
      Infected thromboembolus forming a necrotic foci. Acute cerebritis. Heavy infiltration (2 days). Granulation at margins (5-7 days). Encapsulation.
    B. Gross Findings ¡G
  • D iscrete lesions with central liquefactive necrosis, surrounding by fibrous, collagenized response and edema
  • C. Micro Findings ¡G
  • Necrotic, purulent center.
  • D. Others:
  • Cerebritis: focal inflammation of brain parenchyma. Myelitis: focal inflammation of spinal cord. Focal pyogenic cerebritis. Emboli suppurative encephalitis.
  • E. Reference ¡G
  • Robbins Pathologic Basis of Disease, 6 th ed. P
  • ¡i Fig. 4- (LP) ¡j The normal architecture of cerebrum is destructed ¡i Fig. 4- (LP) ¡j The necrotic area is in the left , the normal cerebral cortex in the right , and a thick fibrous band lined between them ¡i Fig. 4-

    92. MRI Technique For Measuring Blood Volume Helps Distinguish Between Abscesses And
    Dynamic susceptibility contrast (DSC) MRI allows physicians to differentiatebetween cerebral abscesses—inflamed areas in the brain caused by infection—and
    http://www.innovations-report.de/html/berichte/medizin_gesundheit/bericht-35923.
    Weitere Förderer des Forums Content Partner des Forums Medizin Gesundheit American Roentgen Ray Society MRI Technique for Measuring Blood Volume Helps Distinguish Between Abscesses and Tumors in the Brain
    Dynamic susceptibility contrast (DSC) MRI allows physicians to differentiate between cerebral abscesses—inflamed areas in the brain caused by infection—and malignant brain tumors without surgery, says a new preliminary study by researchers from Duke University Medical Center in Durham, NC.
    For the study, the researchers analyzed eight patients who underwent DSC MRI—four with cerebral abscesses and four with malignant brain tumors. DSC MRI is used to measure blood volume in brain tumors. Malignant brain tumors have high blood volume because they need new blood vessels in order to grow, while abscesses have the same blood volume as healthy tissue. On analyzing maps produced by DSC MRI of cerebral blood volume in these eight patients, the researchers found no overlap in the blood volume between the group of abscesses and the group of tumors .
    According to the researchers, DSC MRI and traditional MRI are fundamentally different in the types of information they provide. “Regular MRI scans show the size and shape of a muscle or organ very well, but they don’t tell us much about how it is functioning. As we get more sophisticated in imaging organs, we want to know more than simply their size and the shape. DSC MRI gives us that additional necessary information, letting us know the vascular needs of the tissue ,” said James M. Provenzale, MD, one of the authors of the study.

    93. AJR -- Sign In Page
    Ratio of relative cerebral blood volume (rCBV) in abscess capsule to rCBV inwhite matter was 0.78. Contrastenhanced axial T1-weighted image shows two
    http://www.ajronline.org/cgi/content/figsonly/183/5/1247
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    Distinction Between Cerebral Abscesses and High-Grade Neoplasms by Dynamic Susceptibility...
    Holmes et al. Am. J. Roentgenol..
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    94. AJR -- Sign In Page
    Distinguishing between cerebral abscess and rimenhancing tumor is a Few reports attempting to distinguish cerebral abscesses from neoplasms using
    http://www.ajronline.org/cgi/content/full/183/5/1247
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    Holmes et al. Am. J. Roentgenol..
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    95. Nocardiosis With Brain Abscess Due To An Unusual Species,
    The initial cerebral abscess surgical resection yielded 2 ovoid, Coronal sectionsof the cerebral hemispheres showed several abscesses in the right
    http://arpa.allenpress.com/arpaonline/?request=get-document&doi=10.1043/0003-998

    96. Citrobacter Meningitis And Cerebral Abscess In Early Infancy: Cure By Moxalactam
    A 7week-old boy developed multiple cerebral abscesses as a complication ofneonatal Citrobacter diversus meningitis. He was successfully treated medically
    http://www.neurology.org/cgi/content/abstract/31/12/1575
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    Alert me when this article is cited Alert me when Correspondence are posted ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Levy, R. L. Articles by Saunders, R. L.
    ARTICLES
    Citrobacter meningitis and cerebral abscess in early infancy: cure by moxalactam
    RL Levy and RL Saunders
    A 7-week-old boy developed multiple cerebral abscesses as a complication of neonatal Citrobacter diversus meningitis. He was successfully treated medically with the experimental beta-lactam antibiotic, moxalactam. This is the first nonsurgical cure of brain abscess in early infancy. Fifty-eight percent of all previously reported cases of Citrobacter meningitis were complicated by brain abscess, mandating early, and serial computed

    97. Entrez PubMed
    Nocardia asteroides cerebral abscesses are rare but challenging intracraniallesions. Early diagnosi
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1

    98. Nocardia Cerebral Abscess: New Concepts In Diagnosis, Management, And Prognosis
    Three cases of multiple cerebral nocardial abscess are presented. Accuratelocalisation of nocardia cerebral abscesses by computerised axial tomography
    http://jnnp.bmjjournals.com/cgi/content/abstract/42/11/1038

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    Nocardia cerebral abscess: New concepts in diagnosis, management, and prognosis
    E Byrne, BP Brophy and LV Perrett
    Three cases of multiple cerebral nocardial abscess are presented. All were cured by a combination of chemotherapy and surgery, a unique experience. Early detection, appropriate chemotherapy, absence of underlying immune malfunction, and surgically remediable disease are good prognostic indices

    99. BioMed Central | Full Text | Cerebral Toxoplasmosis
    Toxoplasma cerebral abscesses occur most frequently in patients with HIV infection Multiple cerebral abscesses are commonly present, which may result in
    http://www.biomedcentral.com/1523-3820/3/471
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    Cerebral Toxoplasmosis
    Avindra Nath MD and Anthony Sinai PhD
    Departments of Neurology Microbiology and Immunology, Kentucky Clinic L-445, University of Kentucky, Lexington, KY, 40536-0284, USA
    Current Treatment Options in Infectious Diseases
    Outline Opinion statement Opinion statement Introduction Treatment References The choice of drugs for treating cerebral toxoplasmosis is limited. There are only three drugs available; of these, pyrimethamine and sulfonamide are invariably used in combination. Clindamycin is an alternative choice. Another drug, spiramycin, is effective against Toxoplasma. Toxoplasma Outline Introduction Opinion statement Introduction Treatment References Figures Figure 1 Figure 2 Although cats serve as natural reservoirs of Toxoplasma Toxoplasma -contaminated tissues are eaten by another warm-blooded host, including humans. In humans, the frequency and prevalence of Toxoplasma infection varies considerably depending on age, dietary habits, climate, and proximity to cats. Seropositivity for toxoplasma in healthy individuals in the United States varies between 10% and 40%. In parts of Western Europe and Central America, seropositivity can be as high as 70% to 90%

    100. Skull Tongs: An Unusual Cause Of Cerebral Abscess [Letter]
    Department of Neurosurgery, Seth GS Medical College and KEM Hospital, Mumbai 400 012, India. Skull tongs an unusual cause of cerebral abscess Letter
    http://medind.nic.in/imvw/imvw10202.html
    Extracted from IndMED Bhatjiwale M; Muzumdar D; Gumte B; Goel A Department of Neurosurgery, Seth G. S. Medical College and K. E. M. Hospital, Mumbai - 400 012, India. Skull tongs: an unusual cause of cerebral abscess [Letter] Neurology India. 1997 June; 45(2): 111-2 KEYWORDS: Brain Abscess/ET; Skull/PA; Skull/SU; Traction/AE; Tomography, X-Ray Computed; Case Report; Human; Male; Middle Age Record Identifier: NM000411

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