Frequency of Focal Neurologic Sign and Seizure in Patients with Brain Abscess: Report of 102 Cases

Abstract

Background: Most patients with brain abscess, will present with signs and symptoms of space occupying lesion, such as headache. They may also present with focal neurological deficits and seizure the aim of this study is determination of focal neurologic sign and seizure 102 patents in Kashani and AL-Zahra hospitals in Isfahan for five years.

Materials and Methods: In a retrospective study with use of patients’ files with definite diagnosis of brain abscess, we evaluate sex, age focal neurological signs and seizure in 102 patients in Kashani and Al-Zahra hospital in Isfahan, Iran for five years sequentially.

Results: Male was 69.6 percent and remainder were female the age of first decade was more than other age groups, focal neurologic signs include headache  (68/5%) hemiparesis (44%) and seizure (36%) were more than the other signs. Infection of ears and sinuses were (23.5%), trauma was 16.5%, staph was more than other organism (14.5%) among risk factors, congenital heart disease was the predominant cause (15.5%)

Conclusion: For differential diagnosis of focal neurological sign and seizure when a patients present with these symptoms brain abscess most be in mind.