Value of Numerical Criteria in the Management of Brain Abscess
Background. To study the value of a numerical criteria in the management of brain abscess. Methods. All Patients with brain abscess were included prospectively in this study. Decision regarding management was made on the basis of a quantified numerical criteria , based on Glasgow Coma Scale, focal...
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Rawalpindi Medical University
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doaj-979fc08bcc524d6bae559f82bdb63dda2020-11-25T04:08:00ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702016-03-01201Value of Numerical Criteria in the Management of Brain AbscessMuhammad Khalid0Department of Neurosurgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan Background. To study the value of a numerical criteria in the management of brain abscess. Methods. All Patients with brain abscess were included prospectively in this study. Decision regarding management was made on the basis of a quantified numerical criteria , based on Glasgow Coma Scale, focal neurological deficit, radiological findings and Co morbidities . According to the criteria management was divided into three groups ,i.e., urgent intervention (Burr hole and aspiration), elective surgery on next available list (total excision) and conservative treatment (empirically) Results: Thirty eight patients were studied during 16 months. According to the criteria , 8 patients were treated by burr hole in emergency, 10 patients were treated by total excision, 18 patients were treated by burr hole plus total excision and 2 patients did not undergo surgical intervention. Thirty (78.94%) cases out of 38 improved , 4 patients with hemiparesis did not improve (10.52%).Complications developed in 7 (18.42%). Four cases died (10.52%). There was no difference in the decision regarding mode of surgery based on criteria between the resident and senior consultants. Conclusion. Numerical criteria provide a reasonably useful and uniform guideline for management of brain abscesses. https://www.journalrmc.com/index.php/JRMC/article/view/207Brain abscessesBurr hole aspirationTotal excisionNumerical Criteria |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Muhammad Khalid |
spellingShingle |
Muhammad Khalid Value of Numerical Criteria in the Management of Brain Abscess Journal of Rawalpindi Medical College Brain abscesses Burr hole aspiration Total excision Numerical Criteria |
author_facet |
Muhammad Khalid |
author_sort |
Muhammad Khalid |
title |
Value of Numerical Criteria in the Management of Brain Abscess |
title_short |
Value of Numerical Criteria in the Management of Brain Abscess |
title_full |
Value of Numerical Criteria in the Management of Brain Abscess |
title_fullStr |
Value of Numerical Criteria in the Management of Brain Abscess |
title_full_unstemmed |
Value of Numerical Criteria in the Management of Brain Abscess |
title_sort |
value of numerical criteria in the management of brain abscess |
publisher |
Rawalpindi Medical University |
series |
Journal of Rawalpindi Medical College |
issn |
1683-3562 1683-3570 |
publishDate |
2016-03-01 |
description |
Background. To study the value of a numerical criteria in the management of brain abscess.
Methods. All Patients with brain abscess were included prospectively in this study. Decision regarding management was made on the basis of a quantified numerical criteria , based on Glasgow Coma Scale, focal neurological deficit, radiological findings and Co morbidities . According to the criteria management was divided into three groups ,i.e., urgent intervention (Burr hole and aspiration), elective surgery on next available list (total excision) and conservative treatment (empirically)
Results: Thirty eight patients were studied during 16 months. According to the criteria , 8 patients were treated by burr hole in emergency, 10 patients were treated by total excision, 18 patients were treated by burr hole plus total excision and 2 patients did not undergo surgical intervention. Thirty (78.94%) cases out of 38 improved , 4 patients with hemiparesis did not improve (10.52%).Complications developed in 7 (18.42%). Four cases died (10.52%). There was no difference in the decision regarding mode of surgery based on criteria between the resident and senior consultants.
Conclusion. Numerical criteria provide a reasonably useful and uniform guideline for management of brain abscesses.
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topic |
Brain abscesses Burr hole aspiration Total excision Numerical Criteria |
url |
https://www.journalrmc.com/index.php/JRMC/article/view/207 |
work_keys_str_mv |
AT muhammadkhalid valueofnumericalcriteriainthemanagementofbrainabscess |
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