Pyogenic Brain Abscess and its Management

ABSTRACT

Forty-five cases of Brain abscess diagnosed were treated by elective aspiration through a burr hole and intra-cavitatory application of antibiotic. Repeated aspiration was needed in 30 cases and in only 05 cases surgical excision of abscess along with capsule was done. Mortality in our series was around 11 %. Cases with otogenic/sinusitis as causative factors did better than those cases. which were due to haematogenolls spread. Corticosteriods were not used in the managernent protocol. Five cases needed care in ICU with ventillatory support, 03 of which died.