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Brain Abscess of Otorhinolaryngologic Origin: Study of 80 Cases in the Neurosurgery Department of Conakry University Hospital Center

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Article Type Research Article
Subject Medicine Group
OCLC 9039871511
Barry Lounceny Fatoumata*, Souare Ibrahima Sory, Atakla Hugues Ghislain, Conde Alpha Youssouf, Djibo Hamani Abdoul Bachir, Conde Mohamed Lamine, Youla Seny, Cisse Fode Abass and Cisse Amara
Issue: Volume2-Issue2
Pages: 047-051
Received: 2021-02-15
Accepted: 2021-02-18
Published: 2021-02-19

Abstract

Introduction: Brain abscesses are serious conditions that can be life-threatening if left untreated. The objective of our study was to determine the epidemiological, clinical, paraclinical, therapeutic and evolutionary characteristics of cerebral abscesses of otorhinolaryngological origin in our department.

Methods and Materials: This was a retrospective study of 80 cerebral abscess files of otorhinolaryngological origin collected over a period of 5 years (January 2014-December 2018) at the neurosurgery department of Conakry University Hospital Center.

Results: Abscesses of otorhinolaryngological origin represented 72% of all abscesses. The mean age was 14.7 years with a sex ratio of 4. The clinical picture was dominated by fever (92%), focal signs (55%) and intracranial hypertension (46%). The entrance door was 84% sinus. The frontal site was predominant, 44 cases. Eighty-two percent of patients underwent surgery and 18% were treated with antibiotic therapy alone. The evolution was favorable in 75% of the cases with a mortality rate of 15%.

Conclusion: Brain abscesses are a medical-surgical emergency. The forms of otorhinolaryngologic origin are dominated by sinusitis. Despite the therapeutic difficulties, the prognosis remains acceptable in our study, 15% of deaths.

FullText HTML FullText PDF DOI: 10.37871/jbres1188 Crossmark

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© 2021 Fatoumata BL, et al.. Distributed under Creative Commons CC-BY 4.0 Creative CommonsAttribution

How to cite this article

Fatoumata BL, Sory SI, Ghislain AH, Youssouf CA, Abdoul Bachir DH, Lamine CM, Seny Y, Abass CF, Amara C. Brain Abscess of Otorhinolaryngologic Origin: Study of 80 Cases in the Neurosurgery Department of Conakry University Hospital Center. J Biomed Res Environ Sci. 2021 Feb 19; 2(2): 047-051. doi: 10.37871/jbres1188, Article ID: jbres1188

Subject area(s)

Brain TumorsNeurosurgeryOtolaryngology

References

  1. Dakurah TK, Iddrissu M, Wepeba G, Nuamah I. Hemispheric brain abscess: a review of 46 cases. West Afr J Med. 2006 Apr-Jun;25(2):126-9. doi: 10.4314/wajm.v25i2.28262. PMID: 16918184.
  2. Emery E, Redondo A, Berthelot JL, Bouali I, Ouahes O, Rey A. Abcès et empyèmes intracrâniens: prise en charge neurochirurgicale [Intracranial abscess and empyema: neurosurgical management]. Ann Fr Anesth Reanim. 1999 May;18(5):567-73. French. doi: 10.1016/s0750-7658(99)80134-8. PMID: 10427394.
  3. Hakim HE, Malik AC, Aronyk K, Ledi E, Bhargava R. The prevalence of intracranial complications in pediatric frontal sinusitis. Int J Pediatr Otorhinolaryngol. 2006 Aug;70(8):1383-7. doi: 10.1016/j.ijporl.2006.02.003. Epub 2006 Mar 10. PMID: 16530852.
  4. Kombogiorgas D, Seth R, Athwal R, Modha J, Singh J. Suppurative intracranial complications of sinusitis in adolescence. Single institute experience and review of literature. Br J Neurosurg. 2007 Dec;21(6):603-9. doi: 10.1080/02688690701552856. PMID: 18071989.
  5. Osma U, Cureoglu S, Hosoglu S. The complications of chronic otitis media: report of 93 cases. J Laryngol Otol. 2000 Feb;114(2):97-100. doi: 10.1258/0022215001905012. PMID: 10748823.
  6. Passeron H, Sidy Ka A, Diakhaté I, Imbert P. Suppurations intracrâniennes à porte d’entrée otorhinolaryngologique chez l’enfant au Sénégal [Intracranial suppurations of otorhinolaryngological origin in children in Senegal]. Arch Pediatr. 2010 Feb;17(2):132-40. French. doi: 10.1016/j.arcped.2009.11.001. Epub 2009 Nov 29. PMID: 19951836.
  7. Kabré A, Zabsonré S, Diallo O, Cissé R. Prise en charge médico-chirurgicale des abcès du cerveau à l’ère du scanner en Afrique sub-saharienne: à propos de 112 cas [Management of brain abscesses in era of computed tomography in sub-Saharan Africa: a review of 112 cases]. Neurochirurgie. 2014 Oct;60(5):249-53. French. doi: 10.1016/j.neuchi.2014.06.011. Epub 2014 Sep 20. PMID: 25245921.
  8. Loembe PM, Okome-Kouakou M, Alliez B. Les suppurations collectées intra-crâniennes en milieu africain [Suppurative intracranial infections in Africa]. Med Trop (Mars). 1997;57(2):186-94. French. PMID: 9304016.
  9. Gueye M, Badiane SB, Sakho Y, Kone S, Ba MC, Kabre A. Abcès du cerveau et empyèmes extra cérébraux [Brain abscess and extracerebral empyema]. Dakar Med. 1991;36(1):82-7. French. PMID: 1842767.
  10. Soumaré M, Seydi M, Ndour CT, Fall N, Dieng Y, Sow AI, Diop BM. Profil épidémiologique, clinique et étiologique des affections cérébroméningées observées à la clinique des maladies infectieuses du CHU de Fann à Dakar [Epidemiological, clinical, etiological features of neuromeningeal diseases at the Fann Hospital Infectious Diseases Clinic, Dakar (Senegal)]. Med Mal Infect. 2005 Jul-Aug;35(7-8):383-9. French. doi: 10.1016/j.medmal.2005.03.009. PMID: 15975752.
  11. Gelabert-González M, Serramito-García R, García-Allut A, Cutrín-Prieto J. Management of brain abscess in children. J Paediatr Child Health. 2008 Dec;44(12):731-5. doi: 10.1111/j.1440-1754.2008.01415.x. Epub 2008 Nov 18. PMID: 19054291.
  12. Page C, Lehmann P, Jeanjean P, Strunski V, Legars D. Abcès et empyèmes intracrâniens d’origine O.R.L [Intra cranial abscess and empyemas from E.N.T. origin]. Ann Otolaryngol Chir Cervicofac. 2005 Jun;122(3):120-6. French. doi: 10.1016/s0003-438x(05)82336-9. PMID: 16142090.
  13. Migirov L, Duvdevani S, Kronenberg J. Otogenic intracranial complications: a review of 28 cases. Acta Otolaryngol. 2005 Aug;125(8):819-22. doi: 10.1080/00016480510038590. PMID: 16158527.
  14. H.A.K. Ouiminga, A.B.Thiam, N.Ndoye, H.Fatigba, M.Thioub, S.Memou, M. Gaye Sakho, A.Korchi, J.Mendy, M.C.Ba, S.B.Badiane. Les empyèmes intracrâniens : aspects épidémiologiques, cliniques, paracliniques et thérapeutiques. Étude rétrospective de 100 observations. Neurochirurgie 60 (2014) 299–303.
  15. Hakim HE, Malik AC, Aronyk K, Ledi E, Bhargava R. The prevalence of intracranial complications in pediatric frontal sinusitis. Int J Pediatr Otorhinolaryngol. 2006 Aug;70(8):1383-7. doi: 10.1016/j.ijporl.2006.02.003. Epub 2006 Mar 10. PMID: 16530852.
  16. Nathoo N, Narotam PK, Nadvi S, van Dellen JR. Taming an old enemy: a profile of intracranial suppuration. World Neurosurg. 2012 Mar-Apr;77(3-4):484-90. doi: 10.1016/j.wneu.2011.04.023. Epub 2011 Nov 7. PMID: 22120393.
  17. Broalet E, N’dri Oka D, Eholie SP, Guillao-Lasme EB, Varlet G, Bazeze V. Abcès et empyèmes intracrâniens chez l’enfant, observés à Abidjan. Afr J Neurol Sci 2002;21(1):38–41.
  18. Chakroun M, Abid F, Jmal A, Ben Romdhane F, Hattab MN, Bouzouaia N. Les abcès cérébraux. Etude de 24 cas. Médecine du Maghreb 2002;97:15-9.
  19. Donaldson G, Webster D, Crandon IW. Brain abscess at the University Hospital of the West Indies. West Indian Med J. 2000 Sep;49(3):212-5. PMID: 11076212.
  20. Albu S, Tomescu E, Bassam S, Merca Z. Intracranial complications of sinusitis. Acta Otorhinolaryngol Belg. 2001;55(4):265-72. PMID: 11859644.
  21. Younis RT, Lazar RH, Anand VK. Intracranial complications of sinusitis: a 15-year review of 39 cases. Ear Nose Throat J. 2002 Sep;81(9):636-8, 640-2, 644. PMID: 12353440.
  22. Leys D. Abcès cérébraux et empyèmes intracrâniens. Encyclopédie Médico-Chirurgicale 17-485-A-10. p.1-7.
  23. Heran NS, Steinbok P, Cochrane DD. Conservative neurosurgical management of intracranial epidural abscesses in children. Neurosurgery. 2003 Oct;53(4):893-7; discussion 897-8. doi: 10.1227/01.neu.0000084163.51521.58. PMID: 14519222.
  24. Kojima A, Yamaguchi N, Okui S. Supra- and infratentorial subdural empyema secondary to septicemia in a patient with liver abscess--case report. Neurol Med Chir (Tokyo). 2004 Feb;44(2):90-3. doi: 10.2176/nmc.44.90. PMID: 15018332.
  25. Ali A, Kurien M, Mathews SS, Mathew J. Complications of acute infective rhinosinusitis: experience from a developing country. Singapore Med J. 2005 Oct;46(10):540-4. PMID: 16172774.
  26. Dolan RW, Chowdhury K. Diagnosis and treatment of intracranial complications of paranasal sinus infections. J Oral Maxillofac Surg. 1995 Sep;53(9):1080-7. doi: 10.1016/0278-2391(95)90128-0. PMID: 7643279.
  27. Singh B, Van Dellen J, Ramjettan S, Maharaj TJ. Sinogenic intracranial complications. J Laryngol Otol. 1995 Oct;109(10):945-50. doi: 10.1017/s0022215100131731. PMID: 7499946.
  28. Maniglia AJ, Goodwin WJ, Arnold JE, Ganz E. Intracranial abscesses secondary to nasal, sinus, and orbital infections in adults and children. Arch Otolaryngol Head Neck Surg. 1989 Dec;115(12):1424-9. doi: 10.1001/archotol.1989.01860360026011. PMID: 2573380.
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