CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2017; 06(01): 047-049
DOI: 10.1055/s-0036-1584595
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

A Fatal Sinogenic Brain Abscess in Pregnancy: Case Report and Review of Literature

Reza Bahrami
1   Department of Neurosurgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
,
Hossein Safari
1   Department of Neurosurgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
› Institutsangaben
Weitere Informationen

Publikationsverlauf

10. Juni 2015

04. April 2016

Publikationsdatum:
06. Februar 2017 (online)

Abstract

Cerebral abscess is an extremely rare complication of pregnancy. Among reported cases of pregnancy brain abscess, most patients have shown a good neurologic outcome. Herein, we present a 25-year-old pregnant woman at 28 weeks' gestation with acute loss of consciousness and sudden brain herniation. The patient underwent an emergency craniotomy and brain abscess was evacuated, but she died after surgery. Rapid deterioration and fatal brain herniation were unique among other reports of sinogenic brain abscess during pregnancy.

Authors' Contributions

All authors contributed equally in planning and carrying out this project.


 
  • References

  • 1 Gendron R, Grenier D, Maheu-Robert L. The oral cavity as a reservoir of bacterial pathogens for focal infections. Microbes Infect 2000; 2 (08) 897-906
  • 2 Alvis Miranda H, Castellar-Leones SM, Elzain MA, Moscote-Salazar LR. Brain abscess: current management. J Neurosci Rural Pract 2013; 4 (Suppl. 01) S67-S81
  • 3 Yoshida M, Matsuda H, Furuya K. Successful prognosis of brain abscess during pregnancy. J Reprod Infertil 2013; 14 (03) 152-155
  • 4 Lanciers S, Despinasse B, Mehta DI, Blecker U. Increased susceptibility to Helicobacter pylori infection in pregnancy. Infect Dis Obstet Gynecol 1999; 7 (04) 195-198
  • 5 Wax JR, Pinette MG, Blackstone J, Cartin A. Brain abscess complicating pregnancy. Obstet Gynecol Surv 2004; 59 (03) 207-213
  • 6 Kipronoo L, McKennao D, Moncriefo H, Ventolinio G. Intracranial abscess mimicking stroke in pregnancy. Resid Staff Physician 2007; 53 (07) 29
  • 7 Xiao F, Tseng MY, Teng LJ, Tseng HM, Tsai JC. Brain abscess: clinical experience and analysis of prognostic factors. Surg Neurol 2005; 63 (05) 442-449 , discussion 449–450
  • 8 Tonon E, Scotton PG, Gallucci M, Vaglia A. Brain abscess: clinical aspects of 100 patients. Int J Infect Dis 2006; 10 (02) 103-109
  • 9 Mehnaz A, Syed AU, Saleem AS, Khalid CN. Clinical features and outcome of cerebral abscess in congenital heart disease. J Ayub Med Coll Abbottabad 2006; 18 (02) 21-24
  • 10 Hobson DT, Imudia AN, Soto E, Awonuga AO. Pregnancy complicated by recurrent brain abscess after extraction of an infected tooth. Obstet Gynecol 2011; 118 (2 Pt 2): 467-470
  • 11 Jacob CE, Kurien M, Varghese AM. , et al. Treatment of otogenic brain abscess in pregnancy. Otol Neurotol 2009; 30 (05) 602-603
  • 12 Braun TI, Kerson LA, Eisenberg FP. Nocardial brain abscesses in a pregnant woman. Rev Infect Dis 1991; 13 (04) 630-632
  • 13 Baxi LV, Mayer SA, Mansukhani M. Cerebral abscess and thrombophilia in pregnancy. A case report. J Reprod Med 2001; 46 (06) 606-608
  • 14 Kim HC, Kang SG, Huh PW, Yoo S, Cho KS, Kim DS. Pituitary abscess in a pregnant woman. J Clin Neurosci 2007; 14 (11) 1135-1139
  • 15 Salvi N, Massiah N, Nuttall ID. Cerebral abscess in pregnancy: a clinical dilemma. Arch Dis Child Fetal Neonatal Ed 2010; 95: Fa109