Abstract
Objectives: This case-series was aimed to determine the surgical outcome of brain abscess after a single burr hole aspiration technique in terms of the Glasgow outcome scale (GOS).
 Material & Methods: 100 cases were taken in the study with brain abscess. The favourable outcome included those patients with postoperative GOS of 4 or 5, at discharge and one month postoperatively whereas unfavourable outcome included patients with postoperative GOS of less than 4, at discharge and one month postoperatively.
 Results: Of the 100 patients included, there were 72 (72%) males and 28 (28%) females. The overall mean diameter of the abscess was 6.01 cm ± 1.90. Mean GOS was 2.95 ± 0.86 while mean GOS 3.79 ± 1.18. In this study 75% (n=75) patients presented with a GCS of 12 or less. Among these patients, 2 patients presented with a GCS of 5, 6 patients with a GCS of 7, 9 with GCS 8, 11 with GCS 9, 18 with GCS 10, 15 with GCS 11 and 14 patients presented with a GCS of 12. A favourable outcome was observed in 73 (73%) patients (GOS = 4 and 5), while 27 (27%) were in the unfavourable outcome group.
 Conclusion: Although most of the patients present with a good neurological state, those who present with lower GCS are particularly prone to the poor postoperative outcome and higher mortality. The size of the brain abscess is also an important predictor of the postoperative outcome. The overall outcome for brain abscess aspiration was good.
Highlights
We call brain abscess when an intracranial infection progresses from localised cerebritis to a late-stage abscess encased in a vascular capsule
More than a quarter of all brain abscess cases occur in children and adolescents, with the majority of cases coming from diseases such as chronic otitis media (CSOM), congenital heart diseases (CHD), trauma, and, in rare occasions, surgery.[1]
The age range was divided into two major categories, i.e., age range of 18-40 years as age group 1, while age range of 41-60 years was labelled as group 2 (See Table 1)
Summary
We call brain abscess when an intracranial infection progresses from localised cerebritis to a late-stage abscess encased in a vascular capsule. The incidence rate is reported to range between 0.3 and 1.3 cases per 100,000 individuals per year in the United States, whereas it accounts for 8% of all cerebral mass lesions in impoverished countries. Congenital heart problems (CHD), trauma, and other factors are responsible for the majority of occurrences.[3,4,5,6]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
