腦膿瘍에 對한 臨床的 觀察 = A Clinical Observation on Brain Abscess

다국어 초록 (Multilingual Abstract)

1. Twenty-one cases of brain abscess treated at the Department of Neurosurgery, Seoul National University Hospital during the past 10 years from 1958 through 1967 were studied clinically.
2. Fifty-seven percents of the cases studied were under the age of 20. The ratio between male and female was 2:1.
3. The most important of the known sources of the infection was the infection of the middle ear which was responsible for 57% of total cases. Among others paranasal sinusitis, subacute bacterial endocarditis, cellulitis in face, osteomyelitis in skull, and head trauma were included.
4. Bacterial culture was performed in 12 cases. In 4 cases staphylococci were isolated; iri other 2, streptococci; and in still other 2, proteus.
5. Temporal abscess was found in 13 cases; cerebellar in 2, occipital, in. 2, parietal in 2, and frontal in 1 One case had temporal epidural abscess.
6. Headache was by far the most constant and common symptom and was found in 90%. Among .others
fever, vomiting, L-A nausea were included. As sings 14 patients had stIffneek; 5, hemiparesis; 5, convul-
sion; 4, hemiplegia and 2, homonymous helnianopsia. Papilledema was found in 9 cases.
7. Level of consciousness was comatous in 3, cloudy in 6, and alert in 12.
8. The mortality in this study was 28.6 % and the operative mortality 22.2 %. All comatous patients expired.