PMID- 18225734
OWN - NLM
STAT- MEDLINE
DCOM- 20080328
LR  - 20161124
IS  - 0025-682X (Print)
IS  - 0025-682X (Linking)
VI  - 67
IP  - 5
DP  - 2007 Oct
TI  - [Abscess of the posterior cranial fossa. Report of 4 cases].
PG  - 485-9
AB  - The posterior cerebral fossa is an uncommon location for cerebral abscess. In 
      most cases diagnosis is made at the encapsulation stage with the risk of 
      life-threatening tonsillar herniation. The purpose of this retrospective study 
      was to describe our experience in the management of four cases of abscess located 
      in the posterior cerebral fossa between January 2000 and December 2004. All 
      patients benefited from clinical examination and radiological study (CT-scan). 
      Surgical treatment performed in all cases consisted of trepano-puncture of the 
      abscess. The minimum duration of post-operative follow-up was 6 months. Mean 
      patient age was 38.75 years. All patients presented infectious syndrome and 
      intracranial hypertension. The male:female sex ratio was 3:1. A history of 
      chronic middle ear otitis was noted in two patients. Diagnosis of abscess in the 
      posterior cerebral fossa was confirmed by CT-scan in 2 cases. Cholesteatoma and 
      triventricular hydrocephaly were noted in 2 cases. All patients benefited from 
      trepano-puncture of the abscess. Bacteriologic study of pus was positive for 
      Staphylococcus aureus in 1 case, and Providencia Sp associated with Bacteroides 
      fragilis in another. Second-stage radical mastoidectomy was performed in 2 cases. 
      One patient died. The outcome was favorable in 3 cases. Because of the small size 
      of the posterior cerebral fossa, abscess in that location requires emergency 
      treatment. Delay can be life-threatening due to the risk of obstructive 
      hydrocephaly and tonsillar herniation.
FAU - Ndoye, N
AU  - Ndoye N
AD  - Service de Neurochirurgie, CHU de Fann, Dakar, Senegal. ndarawndoye@yahoo.fr
FAU - Hossini, A
AU  - Hossini A
FAU - Ba, M C
AU  - Ba MC
FAU - Faye, M B
AU  - Faye MB
FAU - Thiam, A B
AU  - Thiam AB
FAU - Tine, I
AU  - Tine I
FAU - Camara, B
AU  - Camara B
FAU - Sakho, Y
AU  - Sakho Y
FAU - Badiane, S B
AU  - Badiane SB
LA  - fre
PT  - Case Reports
PT  - Journal Article
TT  - Les abces de la fosse cerebrale posterieure a propos de 4 cas.
PL  - France
TA  - Med Trop (Mars)
JT  - Medecine tropicale : revue du Corps de sante colonial
JID - 8710146
SB  - IM
MH  - Adolescent
MH  - Aged
MH  - Bacteroides fragilis/isolation & purification
MH  - Brain Abscess/diagnostic imaging/*microbiology/*surgery
MH  - Child
MH  - Cholesteatoma, Middle Ear/complications
MH  - Cranial Fossa, Posterior/diagnostic imaging/*microbiology/*surgery
MH  - Female
MH  - Humans
MH  - Hydrocephalus/complications
MH  - Male
MH  - Mastoid/surgery
MH  - Middle Aged
MH  - Otitis Media/complications
MH  - Providencia/isolation & purification
MH  - Punctures
MH  - Retrospective Studies
MH  - Staphylococcus aureus/isolation & purification
MH  - Tomography, X-Ray Computed
EDAT- 2008/01/30 09:00
MHDA- 2008/03/29 09:00
CRDT- 2008/01/30 09:00
PHST- 2008/01/30 09:00 [pubmed]
PHST- 2008/03/29 09:00 [medline]
PHST- 2008/01/30 09:00 [entrez]
PST - ppublish
SO  - Med Trop (Mars). 2007 Oct;67(5):485-9.