Brain Abscess

A brain abscess is a bacterial infection that led to the stockpiling of pus in the brain, as well as swelling of the organ. This condition is common after bacteria or fungi get into brain tissue due to a head injury or infection at another network.

Although rare, brain abscesses are infectious diseases that could endanger lives and must be tackled as soon as possible. Anyone can experience it, but this risk is generally increased in people with a history of diseases such as:

• ·         HIV/AIDS, cancer, and chronic diseases.
• ·         Infection of the middle ear (otitis media).
• ·         Sinusitis
• ·         Congenital heart disease (PJB), such as tetralogy of Fallot (ToF).
• ·         Meningitis.

In addition, the risk of a brain abscess is also fairly high on someone who suffered a severe head injury or fractures of the skull, ever do organ transplant, immunosuppressive drugs are currently using, or are undergoing chemotherapy.

Causes Of Brain Abscess

The main causes of brain abscess is a bacterial infection or a fungus that gets into the brain tissue, due to the durability of the system the body cannot fight it. Actually, the body is already equipped with a functioning immune system to keep the vital organs. However, in certain cases, germs can enter through the blood vessels and attacked the brain. The infection gets into the brain would be accumulated in brain tissue and form clumps of pus.

Some of the specific diseases that can lead to an abscess of the brain, are:

• ·         Cyanotic heart disease. One type of congenital heart disease that results in the heart is not able to circulate oxygen throughout the body and triggers the onset of infection.
• ·         Pulmonary arteriovenous fistula. An abnormality that occurs in the blood vessels of the lungs, causing bacteria enter the blood and flows toward the brain.
• ·         A dental abscess.
• ·         The infection. These conditions include lung infections (e.g. pneumonia), cardiac infections (e.g. endocarditis), infection in the abdominal cavity (e.g., peritonitis), pelvic infection (e.g., cystitis), and skin infections.
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Symptoms Of A Brain Abscess

Symptoms of a brain abscess are usually felt within a matter of weeks after infection, or sometimes directly. The following is a series of symptoms that may occur:

·         Dizzy was great.

• ·         Nausea and vomiting.
• ·         High fever (above 38 C).
• ·         Chills.
• ·         Behavior change, such as feeling nervous or daze.
• ·         The neck feels stiff.
• ·         Convulsions.
• ·         Decreased ability to feel sensation, muscle, moving or talking.
• ·         Sight impaired, such as double vision, blurring, or opaque.
• ·         Sensitive to light.

As for some of the symptoms that can be seen if the baby or your child suffered an abscess of the brain, include:

• ·         Vomiting.
• ·         Crying with a high pitch.
• ·         The muscles of the body look stiff.

Meet the doctor immediately if symptoms continue to be felt, particularly for those who experience the sudden spasms, how the talk started isn't clear, muscular weakening, or paralyzed.

The Diagnosis Of Brain Abscess

At the initial stage of the diagnosis, the doctor will do a physical exam while analyzing the symptoms and medical history of the patient. The advanced examination will also be undertaken to strengthen the results of diagnosis, including:

• ·         Neurological examination, which includes the movement of muscles, nervous system, and the sensory.
• ·         Blood tests to check if there are certain infections.
• ·         Scan, to see the location of the inflammation or swelling. Scanning includes x-rays, CT scan, or MRI, EEG.
• ·         Pungi lumbar. Sampling cerebrospinal fluid of spinal gap to check if there are certain bacteria. This action cannot be performed if the sufferer experiencing Brain swelling badly because it can make pressure in the brain to deteriorate.

If a follow-up test result cannot identify the causes and sources of infection, the doctor will probably recommend is doing a biopsy.

Treatment Of Brain Abscess

A brain abscess is a condition of emergency and needs to be addressed immediately. Treatment is usually done in a hospital with the dispensing of antibiotics or antifungal medications to patients entering phase stable. Sometimes, the drugs may also be prescribed diuretic. However, if the patient's condition is bad enough, the doctor may recommend action operation.

The following are criteria for brain abscesses are treated with medicines:

• ·         Smaller-sized abscess from 2 cm.
• ·         Abscesses are at some point.
• ·         Abscesses located in parts of the brain most in.
• ·         Patients experienced meningitis.
• ·         Hydrocephalus occurs.
• ·         Toxoplasmosis in people with HIV or AIDS.

If the patient has abscesses, measuring over 2 cm, at risk of rupture in the brain or has to gas in it, the regular doctor will suggest to carry it through the operation. There are two types of commonly used actions, i.e. simple aspiration and craniotomy.

Simple aspiration is done with a small hole drilled (or commonly called burr hole) in the skull so that PUs can be issued. This action is performed with the help of the tools of a CT scan to make sure the point of the abscess. The operation is likely to require a short time, which is about 1 hour.

If drugs or acts of simple aspiration is not helpful, action craniotomy will be done. In this Act, doctors will cut a small portion of hair on the scalp and remove a small portion of the bone of the skull (flap) to open access to the brain. Then, the abscess will be lifted fully once the pus cleaned and the bone flap is returned to its original position when the action is complete. CT scans are also used to help doctors point relocation abscess. This operation will require longer periods of time, which is about 3 hours. After this action, the patient needed a full rest for a 6-12 week.

Some complications, though rare, can occur after craniotomy operations, such as swelling or bruising on the face, dizziness for months, blood clots in the brain, the jaw feels stiff, or feel the shift in the bone flap. Routine control is needed to lower the risk of complications.

It is recommended to avoid activity that is judged harmful to bones of the skull after action operations do, like play football or boxing. Sufferers are also not allowed to drive a vehicle until the doctor allows, to anticipate the occurrence of sudden spasms.

Brain Abscess Complications

If not handled properly, complications following brain abscess can occur:

• ·         Abscesses that recur again.
• ·         Moderate to severe brain damage.
• ·         Epilepsy or seizures.
• ·         Meningitis, especially in children.
• ·         Otitis media (middle ear infection).
• ·         Sinusitis (sinus infection).
• ·         Mastoiditis (an infection of the bone behind the ear).

Prevention Of Brain Abscess

Given the brain abscess is often triggered by a specific disease, it is recommended to perform the inspection on a regular basis so that this condition can be prevented as early as possible.

For those who suffer from heart disorders, doctors usually will give a series of antibiotics prior to dental or other actions in order to prevent the risk of the infection spreading to the brain. It is recommended to always inform the doctor before undertaking any medical treatment during her brain abscesses.

Brain Abscess 2018-05-01T00:04:00-07:00 Rating: 4.5 Diposkan Oleh: Admin Cakep