Preview

Russian Neurosurgical Journal named after Professor A. L. Polenov

Advanced search

A rare case of brain abscess 6 years after removal of a convexity meningioma

https://doi.org/10.56618/20712693_2022_14_3_120

Abstract

Inflammatory complications after planned neurosurgical interventions are a rare but formidable complication. The incidence of this pathology is 0.5–7.7 %. The vast majority of purulent-inflammatory complications are observed within the first month after craniotomy. A case of subdural and intracerebral abscesses of the brain that developed 6 years after the planned removal of convexital meningioma of the frontal region was demonstrated.

About the Authors

P. G. Rudenko
KGBUZ “Krasnoyarsk Regional Clinical Hospital”; Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky
Russian Federation

Rudenko Pavel Gennadievich

3a, Partizana Zheleznyaka st., Krasnoyarsk, 660022; 1, Partizana Zheleznyaka st., Krasnoyarsk, 660022



P. G. Shnyakin
KGBUZ “Krasnoyarsk Regional Clinical Hospital”; Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky
Russian Federation

Shnyakin Pavel Gennadievich

3a, Partizana Zheleznyaka st., Krasnoyarsk, 660022; 1, Partizana Zheleznyaka st., Krasnoyarsk, 660022



A. V. Kanashin
Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky
Russian Federation

Kanashin Alexandr Vasilievich

1, Partizana Zheleznyaka st., Krasnoyarsk, 660022,



A. V. Trubkin
KGBUZ “Krasnoyarsk Regional Clinical Hospital”
Russian Federation

Trubkin Alexey Valerievich 

3a, Partizana Zheleznyaka st., Krasnoyarsk, 660022



I. E. Milehina
KGBUZ “Krasnoyarsk Regional Clinical Hospital”; Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky
Russian Federation

Milehina Ilona Evgenievna

3a, Partizana Zheleznyaka st., Krasnoyarsk, 660022; 1, Partizana Zheleznyaka st., Krasnoyarsk, 660022



I. S. Usatova
KGBUZ “Krasnoyarsk Regional Clinical Hospital”; Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky
Russian Federation

Usatova Irina Sergeevna

3a, Partizana Zheleznyaka st., Krasnoyarsk, 660022; 1, Partizana Zheleznyaka st., Krasnoyarsk, 660022



References

1. O’Keeffe AB, Lawrence T, Bojanic S. Oxford craniotomy infections database: a cost analysis of craniotomy infection. Br J Neurosurg. 2012;26(2):265–9. DOI: 10.3109/02688697.2011.626878.

2. Carpenter J, Stapleton S, Holliman R. Retrospective analysis of 49 cases of brain abscess and review of the literature. Eur J Clin Microbiol Infect Dis. 2007;26(1):1–11. DOI: 10.1007/s10096006 02366.

3. Dashti SR, Baharvahdat H, Sauvageau E, Chang SW, Stiefel MF, Park MS, Spetzler RF, Bambakidis NC. Brain abscess formation at the site of intracerebral hemorrhage secondary to central nervous system vasculitis. Neurosurg Focus. 2008;24(6): E 12. DOI: 10.3171FOC/2008/24/6/E12.

4. Ghalayini SR, Likhith AM, Golash A. Propionibacterium acnes causing delayed subdural empyema — a case report and review of literature. J Clin Neurosci. 2004;11(6):677–9. DOI: 10.1016/j.jocn.2003.09.017.

5. McClelland 3rd S., Hall W. A. Postoperative central nervous system infection: incidence and associated factors in 2111 neurosurgical procedures. Clinical Infectious Diseases 2007;45: 55–59. DOI:10.1086/518580

6. Korinek AM. Risk factors for neurosurgical site infections after craniotomy: a prospective multicenter study of 2944 patients. The French Study Group of Neurosurgical Infections, the SEHP, and the C–CLIN Paris-Nord. Service Epidémiologie Hygiène et Prévention. Neurosurgery. 1997;41(5):1073–9; discussion 1079–81. DOI: 10.1097/0000612319971100000010.

7. Schipmann S, Akalin E, Doods J, Ewelt C, Stummer W, Suero Molina E. When the Infection Hits the Wound: Matched Case-Control Study in a Neurosurgical Patient Collective Including Systematic Literature Review and Risk Factors Analysis. World Neurosurg. 2016;95:178–189. DOI: 10.1016/j.wneu.2016.07.093.

8. Asadi T., Bhimraj A., Isada C., Mohammadi A., Tricia Bravo L. Post-Operative Infection After Surgery of Brain Tumors: A FiveYear Review of Common Pathogens, Presentation and Other Associated Factors. Open Forum Infectious Diseases. 2015; 2 (1), 976. DOI:10.1093/ofid/ofv133.690

9. Zeeshan Q. M., Ali M.F., Gauri S. A., Younus S. M., Imran M., Ashraf J. Intracranial infection rate; postoperative prevalence at civil hospital Karachi, Pakistan. Professional Med J. 2017;24(2):273–277. DOI: https://doi.org/10.29309/TPMJ/2017.24.02.494

10. Chaichana KL, Pinheiro L, Brem H. Delivery of local therapeutics to the brain: working toward advancing treatment for malignant gliomas. Ther Deliv. 2015;6(3):353–69. DOI: 10.4155/tde.14.114.

11. Uzuka T, Takahashi H, Nakasu Y, Okuda T, Mitsuya K, Hayashi N, Hirose T, Kurai H. Surgical Site Infection after Malignant Brain Tumor Resection: A Multicenter Study for Induction of a Basic Care Bundle. Neurol Med Chir (Tokyo). 201715;57(10):542–547. DOI: 10.2176/nmc.oa.2017–0034.

12. Shi ZH, Xu M, Wang YZ, Luo XY, Chen GQ, Wang X, Wang T, Tang MZ, Zhou JX. Post-craniotomy intracranial infection in patients with brain tumors: a retrospective analysis of 5723 consecutive patients. Br J Neurosurg. 2017;31(1):5–9. DOI: 10.1080/02688697.2016.1253827.

13. Staecker H, Nadol JB Jr, Ojeman R, McKenna MJ. Delayed intracranial abscess after acoustic neuroma surgery: a report of two cases. Am J Otol. 1999;20(3):369–72. PMID: 10337980

14. Barazi SA, Gnanalingham KK, Chopra I, van Dellen JR. Delayed postoperative intracerebral abscess caused by Proprionibacterium acnes: case report and review of the literature. Br J Neurosurg. 2003;17(4):336–9. DOI: 10.1080/02688690310001601225.

15. Vogelsang JP, Wehe A, Markakis E. Postoperative intracranial abscess — clinical aspects in the differential diagnosis to early recurrence of malignant glioma. Clin Neurol Neurosurg. 1998;100(1):11–4. DOI: 10.1016/s0303–8467(97)001182.

16. Meling T.R., Lassen B., Helseth E. Incidence of Recraniotomy for Postoperative Infections After Surgery for Intracranial Tumors. Tumors of the Central Nervous System. 2013; 12. Ch. 21: 227–233. DOI: 10.1007/9789400772175_20

17. Abu Hamdeh S, Lytsy B, Ronne-Engström E. Surgical site infections in standard neurosurgery procedures — a study of incidence, impact and potential risk factors. Br J Neurosurg. 2014;28(2):270–5. DOI: 10.3109/02688697.2013.835376.

18. Cassir N, De La Rosa S, Melot A, Touta A, Troude L, Loundou A, Richet H, Roche PH. Risk factors for surgical site infections after neurosurgery: A focus on the postoperative period. Am J Infect Control. 2015;43(12):1288–91. DOI: 10.1016/j.ajic.2015.07.005.

19. Torres S., Perdiz L.B., Medeiros E. A. Incidence of surgical site infection after craniotomy: comparison between three months and twelve months of epidemiological surveillance. Braz J Infect Dis. 2018;22(5):433–437. DOI: 10.1016/j.bjid.2018.08.001.

20. Mozhejko R. A., SHekhovcev V.I. Metastaticheskie abscessy golovnogo mozga: rol’ i puti optimizacii konservativnoj terapii. Rossijskij nejrohirurgicheskij zhurnal imeni professora A. L. Polenova. 2010;4:62–66. (In Russ.).

21. Bergen T. A., Sajnov I. A., Fokin V. A. Trufanov G. E. Standartizaciya magnitnorezonansno-tomograficheskogo issledovaniya golovnogo mozga pri solitarnom ochagovom obrazovanii belogo veshchestva. Rossijskij nejrohirurgicheskij zhurnal imeni professora A. L. Polenova. 2022;2:24–28. (In Russ.).


Review

For citations:


Rudenko P.G., Shnyakin P.G., Kanashin A.V., Trubkin A.V., Milehina I.E., Usatova I.S. A rare case of brain abscess 6 years after removal of a convexity meningioma. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(3):120-125. (In Russ.) https://doi.org/10.56618/20712693_2022_14_3_120

Views: 39


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2071-2693 (Print)