E-ISSN 2534-9821
 

Original Research 


Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala

Subrat Kumar Soren, Vijayan Peettakkandy, Chandramohan Unni, Shanavas Cholakkal, Abdul Jaleel P., Razvi Rasi.

Abstract
Aims:
The aim of our study were to present last 3 years case series of intracranial infections, its major clinical manifestation, radiological distribution and surgical management
Background:
Intracranial infections are serious and life threatening medical conditions. Spectrum of intracranial infections includes meningitis, encephalitis, ventriculitis to cerebritis/brain abscess and subdural empyema.
Methods:
We included 41 patients in our studies out of 45 total cases between 2017(Jan) to 2020(May). Patients information were found from department records and operative register. These patients were confirmed after surgical procedures. In our studies, 11 patients were female and 30 patients were male. The mean age distribution was 7month to 67 years. Out of 41 patients 33 had intracerebral abscesses (21 solitary abscesses and 12 having multiple abscesses) and 8 had subdural empyemas. All patients were underwent craniotomy and some craniectomy as surgical procedures followed by antibiotic regimen average 4-6 weeks including at-least 2weeks injectable based on culture or empirical.
Results:
Our results showing more predominant in male gender and most age group involved were third and fourth decade. Majority cases no definite infectious agents identified which constitute about 56%. Fungus and tubercular cause constitute 2.4% and 9.7%. Most common lobe involved was temporal lobe and the majority of patients underwent craniotomy with complete/partial capsule excision. Predominate clinical manifestations were headache(78%), fever(53.6%), Nausea/Vomiting(29.2%), Neurological deficits(19.5%), Seizure(19.5%). Different location of intracranial infections as follows Solitary brain abscess in 21%, multiple brain abscess in 12% and subdural empyema in 19.5%. Following surgery 63.4% were complete symptomatic free and 24.3% clinically improved and death in 12.1%
Conclusion:
Surgical treatment is the gold standard treatment available for brain abscess and craniotomy still holds the best method to address brain abscess and in particular to developing countries like India in terms of feasibility and cost effective.

Key words: Brain abscess, subdural empyema, craniotomy, intracranial infection


 
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How to Cite this Article
Pubmed Style

Soren SK, Peettakkandy V, Unni C, Cholakkal S, P. AJ, Rasi R. Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala. doi:10.5455/IJMRCR.Intracranial-infections-india


Web Style

Soren SK, Peettakkandy V, Unni C, Cholakkal S, P. AJ, Rasi R. Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala. http://www.mdpub.net/?mno=302645323 [Access: March 18, 2021]. doi:10.5455/IJMRCR.Intracranial-infections-india


AMA (American Medical Association) Style

Soren SK, Peettakkandy V, Unni C, Cholakkal S, P. AJ, Rasi R. Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala. doi:10.5455/IJMRCR.Intracranial-infections-india



Vancouver/ICMJE Style

Soren SK, Peettakkandy V, Unni C, Cholakkal S, P. AJ, Rasi R. Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala. doi:10.5455/IJMRCR.Intracranial-infections-india



Harvard Style

Soren, S. K., Peettakkandy, . V., Unni, . C., Cholakkal, . S., P., . A. J. & Rasi, . R. (2021) Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala. doi:10.5455/IJMRCR.Intracranial-infections-india



Turabian Style

Soren, Subrat Kumar, Vijayan Peettakkandy, Chandramohan Unni, Shanavas Cholakkal, Abdul Jaleel P., and Razvi Rasi. 2021. Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala. doi:10.5455/IJMRCR.Intracranial-infections-india



Chicago Style

Soren, Subrat Kumar, Vijayan Peettakkandy, Chandramohan Unni, Shanavas Cholakkal, Abdul Jaleel P., and Razvi Rasi. "Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala." doi:10.5455/IJMRCR.Intracranial-infections-india



MLA (The Modern Language Association) Style

Soren, Subrat Kumar, Vijayan Peettakkandy, Chandramohan Unni, Shanavas Cholakkal, Abdul Jaleel P., and Razvi Rasi. "Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala." doi:10.5455/IJMRCR.Intracranial-infections-india



APA (American Psychological Association) Style

Soren, S. K., Peettakkandy, . V., Unni, . C., Cholakkal, . S., P., . A. J. & Rasi, . R. (2021) Study of clinicoradiological profile and surgically managed 41 cases of Intracranial infections in a tertiary care institute of north Kerala. doi:10.5455/IJMRCR.Intracranial-infections-india