Danubius International Conferences, 11th International Conference The Danube - Axis of European Identity

Clinical Case Study of a Surgically Treated Patient for Cerebral Parieto-Occipital Abscess

Emre Sarikaya
Last modified: 2021-06-28

Abstract

A clinical case study was performed on a 48 old patient, hospitalized and treated surgically for right parieto-occipital brain abscess, in the Neurosurgery Clinic of the County Emergency Hospital, Constanta. Patient is it not known with any medical history and come at hospital with following complaints: headache, drowsiness, left spastic hemiplegia. Examination of native and with contrast substance craniocerebral MRI reveals a right parieto-occipital cortico-subcortical intracranial expansive process, with maximum axial dimensions 52/44 mm, delimited by a gadolinophilic wall, surrounded by edema with mass effect, deviating the median structures with 8 mm. Surgery is performed by right parieto-occipital craniectomy and complete resection of the expansive process with a spherical formation, with soft, reddish walls that at the incision determines the evacuation of a green purulent material, which is taken for bacteriological analysis. The postoperative evolution is favorable with the remission of the cephalic symptoms and the remission of the motor deficit.

Acknowledgements: “The work of the first author is supported by the project ANTREPRENORDOC, in the framework of Human Resources Development Operational Programme 2014-2020, financed from the European Social Fund under the contract number 36355/23.05.2019 HRD OP /380/6/13 – SMIS Code: 123847. The work of the second author was carried out in the framework of the research project DREAM (Dynamics of the REsources and technological Advance in harvesting Marine renewable energy), supported by the Romanian Executive Agency for Higher Education, Research, Development and Innovation Funding – UEFISCDI, grant number PN-III-P4-ID- PCE-2020-0008.”