Brain abscesses in Iraq during a 10 years period: Part 11. Diagnostic investigations, management -and outcome.

Abstract

Background: This study comprises0two parts, the first one dealt with epidemiology, etiology and clinical picture of"brain abscess. This part describes diagnostic investigations,
management and final outcome of brain abscess during a 10 years period. 
Methods: The case records of patients with brain abscess admitted to the neurosurgical specialties hospital in Baghdad over a 10 years period extending from 1 " Jan. 1993 to 3 1 " Dec.
2002, inclusive were reviewed. Data obtained included demographic and clinical data.
Results: Results of peripheral leukocytes count, ESR and CSF were supportive in 16.7%, 67.9% 78` o ol'cases in which tests were applied, respectively. CT scan was suggestive in 100%
of cases. Use of antibiotic therapy as a preliminary treatment line was adopted in 37.8% of cases, while surgery as a preliminary line of treatment was adopted in 62.3% of cases. Out of
68 cases, complete resolution was encountered in 70.6°x% ol'cases, sequlae in 11.8% and death in 17.9%. Bad neurological 'status on admission was the most encountered contributing factor for death. Metastasis from a remote infection process is a risky aetiology contributing to bad prognosis.
Conclusion: The use Of C I Scan represents all important change in the diagnostic regimen of brain abscess in the last 10 -15 years.