BRAIN ABSCESS

PRESENTED BY:- JASPREET KAUR SODHI

BRAIN ABSCESS ,[object Object]

Brain Abscess ,[object Object],[object Object],[object Object],[object Object]

Brain Abscess ,[object Object],[object Object],[object Object]

Most Common Pathogens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BRAIN ABSCESS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PREDISPOSING FACTORS ,[object Object],[object Object],[object Object],[object Object]

Brain Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object]

Brain Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tongue piercing causes brain abscess ,[object Object],[object Object],[object Object],[object Object]

PATHOGENESIS ,[object Object],[object Object],[object Object],[object Object]

DIRECT SPREAD (from contiguous foci) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HEMATOGENOUS SPREAD (from remote foci) ,[object Object],[object Object],[object Object],[object Object],[object Object]

PREDISPOSING CONDITION & LOCATION OF BRAIN ABSCESS Otitis/mastoiditis Temporal lobe, Cerebellum Frontal/ethmoid sinusitis Frontal lobe Sphenoidal sinusitis Frontal lobe, Sella turcica Dental infection Frontal > temporal lobe. Remote source Middle cerebral artery distribution (often multiple)

Microbiology of Brain Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PATHOPHYSIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

STAGES ,[object Object],[object Object],[object Object],[object Object]

PATHOGENESIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PATHOGENESIS ,[object Object],[object Object],[object Object],[object Object],Stage 1

[object Object],[object Object],[object Object],[object Object],[object Object],Stage 2

[object Object],[object Object],[object Object],Stage 3

Stage 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLINICAL PRESENTATIONS Brain abscess presents as an Expanding Intracranial mass ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLINICAL PRESENTATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLINICAL MANIFESTATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLINICAL MANIFESTATIONS OF BRAIN ABSCESS Headache 70% Fever 50 Altered mental status 50-60 Triad of above three <50 Focal neurologic findings 50 Nausea/vomiting 25-50 Seizures 25–35 Nuchal rigidity 25 Papilledema 25

CLINICAL MANIFESTATIONS ,[object Object],[object Object],[object Object],[object Object]

LOCATION & CLINICAL FEATURES ,[object Object],[object Object],[object Object],[object Object]

DIAGNOSIS ,[object Object],[object Object],[object Object]

TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MEDICAL TREATMENT ONLY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object]

ANTIBIOTICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ABSCESS DRAINAGE ,[object Object],[object Object],[object Object]

TREATMENT OF INFECTION SITE ,[object Object],[object Object],[object Object]

BRAIN ABSCESS

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BRAIN ABSCESS