Abstract:

Introduction: We aim to present our results of surgical treatment of intracranial abscess. Material and Methods: In our study, between the years 2005-2016 at Kirikkale University Faculty of Medicine, Neurosurgery department was performed. Intracranial abscess treated with the diagnosis of 11 patients were evaluated retrospectively. Intracranial abscess, their complaints, occurrence form of abscesses, abscesses and examined the distribution of the settlement findings. Surgical forms applied to patients and compared. Stereotactic aspiration or Burr-hole craniectomy from the surgical drainage technique were excised and capsules. Results: 11 patients were enrolled in the study. The ages of the patients ranged from 11-63 years old. The average age was 33±3. Patients' complaints, according to the incidence; 7 patients (63.6%) consciousness turbidity,4 patients (27.2%), nausea and vomiting, to a lesser extent, headache, weakness, fever and dizziness complaints. Abscess localization of the patients were generally located in the temporal lobe. After the onset of symptoms of patients to our clinic application period, the average 23.6±5 days. Surgery in 11 patients and 7 patients with (63.6%) abscesses with Burr-hole to 2 craniectomy patients with abscesses and 2 patients with capsular excision (18.1%) operations were performed. Preoperative and postoperative radiographic Cranial Computed Tomography (CT) was performed. As laboratory analysis in the clinical follow-up CBC, Sedim, hsCRP levels were measured. Culture sent the abscess material during the operation. Patients GOS (Glasgow outcome scale) score of 8 patients in 5 (72.7%), one patient in 4 (9.09%) to a patient in 2 (% 9.09) and a patient 1 (% 9.09) were calculated as points. Conclusion: Intracranial abscess of the surgical approach in the surgical excision of the capsule with the aspiration of the abscess was not observed a significant difference in the rate of GOS. In addition, post-surgical follow-up less than 2 cm in size of the abscess, Cranial CT is not needed to follow, and CRP levels were seen in follow-up medical treatment alone is enough.

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