Abscessos cerebelares: considerações a propósito de 4 casos em crianças

Plese, José Pindaro P.; Pereira, Walter Carlos; Reed, Umbertina C.; Lefèvre, Antonio B.

doi:10.1590/S0004-282X1974000300007

Resumos

São apresentados 4 casos de abscesso cerebelar em pacientes de até 10 anos de idade, sendo discutidos alguns de seus apectos diagnóticos, etiopatogênicos e terapêuticos. A apresentação destes casos é justificada pela raridade com que esta entidade é registrada na literatura.

Four cases of cerebellar abscess ocurring in patients from 7 to 10 years old are reported. Some diagnostic, etiopathogenic and therapeutic aspects are discussed. Owing to the relative rarity of the occurence of this condition, the report of these cases is justified.

Abscessos cerebelares. Considerações a propósito de 4 casos em crianças

Cerebellar abscess: report of 4 cases occurring in childhood

José Pindaro P. Plese^I; Walter Carlos Pereira^II; Umbertina C. Reed^III; Antonio B. Lefèvre^IV

^IClínica Neurológica do Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo: Preceptor

^IIClínica Neurológica do Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo: Neurocirurgião

^IIIClínica Neurológica do Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo: Residente

^IVClínica Neurológica do Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo: Chefe do Setor de Neuropediatria (Professor Adjunto)

RESUMO

São apresentados 4 casos de abscesso cerebelar em pacientes de até 10 anos de idade, sendo discutidos alguns de seus apectos diagnóticos, etiopatogênicos e terapêuticos. A apresentação destes casos é justificada pela raridade com que esta entidade é registrada na literatura.

SUMMARY

Four cases of cerebellar abscess ocurring in patients from 7 to 10 years old are reported. Some diagnostic, etiopathogenic and therapeutic aspects are discussed. Owing to the relative rarity of the occurence of this condition, the report of these cases is justified.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Clínica Neurológica Faculdade de Medicina, Universidade de São Paulo Caixa Postal 3461 01000 São Paulo, SP Brasil.

1. BALTUS, J. & NOTERMAN, J. Bacteriological study of 25 cases of brain abscess. Acta Neurol. Belg. 68:447, 1968.
2. BELLER, J. A.; SAHAR, A. & PRAISS, I. Brain abscess: review of 89 cases over a period of 30 years. J. Neurol. Neurosurg. Psychiat. 36:757, 1973.
3. BITTENCOURT, J. M. T. Meningites agudas. In H. M. Canelas, ed.: Manual de Clínica Neurológica. Sarvier, São Paulo, 1967, pp. 199-215.
4. BONNAL, J.; DESCUNS, P. & DUPLA Y, J. Les Abcès Encèphaliques à l'Ère des Antibiotiques. Masson et Cie., Paris, 1960.
5. BOTEREL, E. H. & DRAKE, C. G. Localized encephalitis, brain abscess and subdural empyema. J. Neurosurg. 9:384, 1952.
6. CAREY, M. E.; CHOU, S. N. & FRENCH, L. A. Experience with brain abscess. J. Neurosurg. 36:1, 1972.
7. DAWES, J. D. K. Discussion on intracranial complications of otogenic origin. Proc. Roy. Soc. Med. 54:315, 1961.
8. EVANS, W. The pathology and etiology of brain abscess. Lancet i: 1231 e 1289, 1931.
9. GARFIELD, J. Management of supra tentorial intracranial abscess: a review of 200 cases. British Med. J. ii: 7, 1969.
10. HASAERTS, R.; RETIF, J. & GRAFF, G. L'electroéencéphalogramme dans la clinique des abcès intracraniens. Neuro-Chirurgie 6:382, 1960.
11. HOFFMANN, G. R. Discussion sur les abcès encèphaliques à l'ère des antibiotiques. Neuro-Chirurgie 6:365, 1960.
12. HORWITZ, N. H.H & RIZZOLI, H. V. Postoperative Complications in Neurosurgical Pratice. Willians & Wilkins, Baltimore, 1967, pp. 186-204.
13. KERR, F. W. L.; KING, R. B. & MEAGHER, J. N. Brain abscess: a study of forty seven consecutive cases. J. Amer. Med. Ass. 168:868, 1958.
14. KISER, J. L. & KENDIG, J. H. Intracranial suppuration: a review of 139 cases with electron-microscopic observation on three. J. Neurosurg. 20:494, 1963.
15. KRAYENBÜHL, H. A. Abscess of the brain. In R. G. Ojeman & J. Shillite Jr.: Clinical Neurosurgery, Willians & Wilkins, Baltimore, 1967. pp. 25-44.
16. LE BEAU, J.; CREISSARD, P.; HARISPE, L. & REDONDO, A. Surgical treatment of brain abscess and subdural empyema. J. Neurosurg. 38:198, 1973.
17. LEFÈVRE, A. B. O líquido cefalorraqueano nos tumores intracranianos em crianças. J. Pediat. 27:367, 1962
18. LOESER, E. Brain abscess: a review of ninety-nine cases. Neurology (Minneapolis) 7:601, 1957.
19. MATSON, D. D. Neurosurgery of Infancy and Childhood. Charles C. Thomas, Springfield (Illinois), 1969, pp. 708-730.
20. NORTHFIELD, D. W. C. The Surgery of the Central Nervous System. Blackwell Scientific Publicatins, Oxford, 1973, pp. 429-466.
21. PENNYBACKER, J. Cerebellar abscess treatment by excision with aid of antibiotics. J. Neurol. Neurosurg. Psychiat. 11:1, 1948.
22. PENNYBACKER, J. Discussion on intracranial complications of otogenic origin. Proc. Roy. Soc. Med. 54:309, 1961.
23. PETERSON, H. O. & KIEFFER, S. R. Introdution to Neuroradiology. Harper & Row, Hagerstown, 1972.
24. RAIMONDI, A. J. & WRIGTH, R. L. Cranial and intracranial infections. In J. R. Yomans: Neurological Surgery, Saunders, Philadelphia, 1973, pp. 1547-1555.
25. RESCH, J. A. & SUNG, J. H. Brain abscess and diffuse suppurative encephalitis. In A. B. Baker: Clinical Neurology, Vol. 2. Harper & Row, Hagerstown, 1973.
26. REZENDE, M. L. & LEFÈVRE, A. B. Abscessos intracranianos na criança. Rev. paul. Med. (São Paulo) 67: 183, 1965.
27. ROCHA, A. G. Considerações sobre o diagnóstico e tratamento de 100 casos de abscesso cerebral. Tese apresentada à Faculdade de Medicina da Universidade de São Paulo para a obtenção de grau de Doutor em Medicina, 1973.
28. SACHS, E. An analysis of brain abscesses observed during the past thirty years. Ann. Surg. 123:785, 1946.
29. SCHREIBER, F. Cerebellar abscesses of otitic origin in nine children: eight recoveries after cannulation. Ann. Surg. 114:330, 1941.
30. SPERL, M. P..; McCARTY, C. S. & WELLMAN, W. E. Observations on current theraphy of brain abscess. Arch. Neurol. Psychiat. (Chicago) 81:439, 1959.
31. TARKKANEN, J. O. Otogenic brain abscess: a study of 99 cases including 24 follow-up examined. Acta Otolaryng. Supp. 185, 1963.
32. TUTON, G. R. Cerebral abscess: the present position. Ann. Roy. Cell. Surg. Engl. 13:281, 1953.
33. VAN DER WERF, A. J. M.; AN, L. T. & NOORDENBOS, W. Drainage fractionné des abcès encéphaliques. Neuro-Cirurgie 6:325, 1960.
34. WEBER, G. Traitement et resultats therapeutiques des abcès cérébraux. Neuro-Chirurgie 6:367, 1960.
35. WEBSTER, J. E. & GURDJIAN, E. S. The surgical management of intracranial suppuration: methods in diagnosis and management and a report of 23 cases of civilian and 33 cases of military abscess. Surgery Gynec. Obstet. 90:209, 1950.
36. WERTHEIMER, P.; LECUIRE, J.; LAPRAS, C. & TUSINI, C. Les abcès encéphaliques chez l'enfant: a propôs de 16 observations. Neuro-Chirurgie 6:373, 1960.

Datas de Publicação

Publicação nesta coleção
12 Abr 2013
Data do Fascículo
Set 1974

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BALTUS, J. & NOTERMAN, J. Bacteriological study of 25 cases of brain abscess. Acta Neurol. Belg. 68:447, 1968.

[2] 2. BELLER, J. A.; SAHAR, A. & PRAISS, I. Brain abscess: review of 89 cases over a period of 30 years. J. Neurol. Neurosurg. Psychiat. 36:757, 1973.

[3] 3. BITTENCOURT, J. M. T. Meningites agudas. In H. M. Canelas, ed.: Manual de Clínica Neurológica. Sarvier, São Paulo, 1967, pp. 199-215.

[4] 4. BONNAL, J.; DESCUNS, P. & DUPLA Y, J. Les Abcès Encèphaliques à l'Ère des Antibiotiques. Masson et Cie., Paris, 1960.

[5] 5. BOTEREL, E. H. & DRAKE, C. G. Localized encephalitis, brain abscess and subdural empyema. J. Neurosurg. 9:384, 1952.

[6] 6. CAREY, M. E.; CHOU, S. N. & FRENCH, L. A. Experience with brain abscess. J. Neurosurg. 36:1, 1972.

[7] 7. DAWES, J. D. K. Discussion on intracranial complications of otogenic origin. Proc. Roy. Soc. Med. 54:315, 1961.

[8] 8. EVANS, W. The pathology and etiology of brain abscess. Lancet i: 1231 e 1289, 1931.

[9] 9. GARFIELD, J. Management of supra tentorial intracranial abscess: a review of 200 cases. British Med. J. ii: 7, 1969.

[10] 10. HASAERTS, R.; RETIF, J. & GRAFF, G. L'electroéencéphalogramme dans la clinique des abcès intracraniens. Neuro-Chirurgie 6:382, 1960.

[11] 11. HOFFMANN, G. R. Discussion sur les abcès encèphaliques à l'ère des antibiotiques. Neuro-Chirurgie 6:365, 1960.

[12] 12. HORWITZ, N. H.H & RIZZOLI, H. V. Postoperative Complications in Neurosurgical Pratice. Willians & Wilkins, Baltimore, 1967, pp. 186-204.

[13] 13. KERR, F. W. L.; KING, R. B. & MEAGHER, J. N. Brain abscess: a study of forty seven consecutive cases. J. Amer. Med. Ass. 168:868, 1958.

[14] 14. KISER, J. L. & KENDIG, J. H. Intracranial suppuration: a review of 139 cases with electron-microscopic observation on three. J. Neurosurg. 20:494, 1963.

[15] 15. KRAYENBÜHL, H. A. Abscess of the brain. In R. G. Ojeman & J. Shillite Jr.: Clinical Neurosurgery, Willians & Wilkins, Baltimore, 1967. pp. 25-44.

[16] 16. LE BEAU, J.; CREISSARD, P.; HARISPE, L. & REDONDO, A. Surgical treatment of brain abscess and subdural empyema. J. Neurosurg. 38:198, 1973.

[17] 17. LEFÈVRE, A. B. O líquido cefalorraqueano nos tumores intracranianos em crianças. J. Pediat. 27:367, 1962

[18] 18. LOESER, E. Brain abscess: a review of ninety-nine cases. Neurology (Minneapolis) 7:601, 1957.

[19] 19. MATSON, D. D. Neurosurgery of Infancy and Childhood. Charles C. Thomas, Springfield (Illinois), 1969, pp. 708-730.

[20] 20. NORTHFIELD, D. W. C. The Surgery of the Central Nervous System. Blackwell Scientific Publicatins, Oxford, 1973, pp. 429-466.

[21] 21. PENNYBACKER, J. Cerebellar abscess treatment by excision with aid of antibiotics. J. Neurol. Neurosurg. Psychiat. 11:1, 1948.

[22] 22. PENNYBACKER, J. Discussion on intracranial complications of otogenic origin. Proc. Roy. Soc. Med. 54:309, 1961.

[23] 23. PETERSON, H. O. & KIEFFER, S. R. Introdution to Neuroradiology. Harper & Row, Hagerstown, 1972.

[24] 24. RAIMONDI, A. J. & WRIGTH, R. L. Cranial and intracranial infections. In J. R. Yomans: Neurological Surgery, Saunders, Philadelphia, 1973, pp. 1547-1555.

[25] 25. RESCH, J. A. & SUNG, J. H. Brain abscess and diffuse suppurative encephalitis. In A. B. Baker: Clinical Neurology, Vol. 2. Harper & Row, Hagerstown, 1973.

[26] 26. REZENDE, M. L. & LEFÈVRE, A. B. Abscessos intracranianos na criança. Rev. paul. Med. (São Paulo) 67: 183, 1965.

[27] 27. ROCHA, A. G. Considerações sobre o diagnóstico e tratamento de 100 casos de abscesso cerebral. Tese apresentada à Faculdade de Medicina da Universidade de São Paulo para a obtenção de grau de Doutor em Medicina, 1973.

[28] 28. SACHS, E. An analysis of brain abscesses observed during the past thirty years. Ann. Surg. 123:785, 1946.

[29] 29. SCHREIBER, F. Cerebellar abscesses of otitic origin in nine children: eight recoveries after cannulation. Ann. Surg. 114:330, 1941.

[30] 30. SPERL, M. P..; McCARTY, C. S. & WELLMAN, W. E. Observations on current theraphy of brain abscess. Arch. Neurol. Psychiat. (Chicago) 81:439, 1959.

[31] 31. TARKKANEN, J. O. Otogenic brain abscess: a study of 99 cases including 24 follow-up examined. Acta Otolaryng. Supp. 185, 1963.

[32] 32. TUTON, G. R. Cerebral abscess: the present position. Ann. Roy. Cell. Surg. Engl. 13:281, 1953.

[33] 33. VAN DER WERF, A. J. M.; AN, L. T. & NOORDENBOS, W. Drainage fractionné des abcès encéphaliques. Neuro-Cirurgie 6:325, 1960.

[34] 34. WEBER, G. Traitement et resultats therapeutiques des abcès cérébraux. Neuro-Chirurgie 6:367, 1960.

[35] 35. WEBSTER, J. E. & GURDJIAN, E. S. The surgical management of intracranial suppuration: methods in diagnosis and management and a report of 23 cases of civilian and 33 cases of military abscess. Surgery Gynec. Obstet. 90:209, 1950.

[36] 36. WERTHEIMER, P.; LECUIRE, J.; LAPRAS, C. & TUSINI, C. Les abcès encéphaliques chez l'enfant: a propôs de 16 observations. Neuro-Chirurgie 6:373, 1960.