Effect of aspiration with antibiotic administration on the outcome of brain abscess in pediatric age group

Abstract EN

In the period from 1997-2000, 20 children were treated for brain abscess at Suez Canal University Hospital.

Age ranged from 6month- 12yearswith (the mean of 9years).

Fifteen cases were males (75%) and five (25%) were females.

Of these, 17 (85%) had an E.N.T.

infection; 1 (5%) had cyanotic heart disease and the other two were idiopathic.

The standardized treatment protocol included aspiration of the abscess and administration of antibiotics and antiedematou$ drugs CT scan with contrast as a diagnostic tool was available for all patients.

In 3 (15%) out of these 20 cases the abscess was excised, postoperative neurological sequelae were slight; epilepsy frequency was 10% (2 cases), focal deficit was 5% (one case).

Repeated CT scans demonstrated the progressive disappearance of the capsule within the few weeks (with the mean of 6 weeks)، This study shows an Improvement in the result when brain abscesses in children are aspirated rather than excision.