E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Article 


Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series

Yasser Seddeg Abdulghani, Mohammed Awad Elzain, Abubakr Darrag Salim Ahmed, Salaheldin Awad Abdelhalim.

Abstract
This is a prospective cross-sectional study on brain abscess burr hole aspiration in children with congenital heart disease (CHD) performed from January 2018 to March 2019. All patients were operated on through a burr hole, and then received intravenous antibiotics for 6 weeks and orally for 2 weeks either empirically or according to the results of abscess culture, if positive. The follow-up of cranial computed tomography or brain magnetic resonance image with contrast was obtained after 2 months (post-operatively) to assess the effectiveness of the procedure and to look for any residual or recurrent abscesses. Data were collected in a designed data collection sheet and analysed using Statistical Package for the Social Sciences-20. Thirteen patients were found to satisfy inclusion criteria. The most common presenting symptoms were fever (n = 11/13, 84.6%), vomiting (n = 7/13, 53.8%), headache (n = 6/13, 46.2%), convulsions (n = 6/13, 46.2%), focal weakness (n = 3/13, 23.1%), and impaired level of consciousness (n = 1/13, 7.7%). No bacterial growth was detected in two-thirds of the cases (69.2%), while the culture was positive in the remaining onethird
(30.8%). The follow-up images showed complete resolution of the abscesses except in one case (n = 1/13, 7.7%), which required a
second session of aspiration. One patient died (n = 1/13, 7.7%) on the 19th post-operative day due to severe pneumonia. Aspiration of brain abscess in children with CHD through a burr hole is a safe and effective procedure in terms of operative time, duration of anaesthesia and postoperative complications.

Key words: Brain abscess; burr hole aspiration; congenital heart disease.


 
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How to Cite this Article
Pubmed Style

Abdulghani YS, Elzain MA, Ahmed ADS, Abdelhalim SA. Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series. Sudan J Paed. 2021; 21(1): 61-66. doi:10.24911/SJP.106-1589487269


Web Style

Abdulghani YS, Elzain MA, Ahmed ADS, Abdelhalim SA. Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series. http://www.sudanjp.com/?mno=107278 [Access: April 09, 2021]. doi:10.24911/SJP.106-1589487269


AMA (American Medical Association) Style

Abdulghani YS, Elzain MA, Ahmed ADS, Abdelhalim SA. Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series. Sudan J Paed. 2021; 21(1): 61-66. doi:10.24911/SJP.106-1589487269



Vancouver/ICMJE Style

Abdulghani YS, Elzain MA, Ahmed ADS, Abdelhalim SA. Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series. Sudan J Paed. (2021), [cited April 09, 2021]; 21(1): 61-66. doi:10.24911/SJP.106-1589487269



Harvard Style

Abdulghani, Y. S., Elzain, . M. A., Ahmed, . A. D. S. & Abdelhalim, . S. A. (2021) Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series. Sudan J Paed, 21 (1), 61-66. doi:10.24911/SJP.106-1589487269



Turabian Style

Abdulghani, Yasser Seddeg, Mohammed Awad Elzain, Abubakr Darrag Salim Ahmed, and Salaheldin Awad Abdelhalim. 2021. Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series. Sudanese Journal of Paediatrics, 21 (1), 61-66. doi:10.24911/SJP.106-1589487269



Chicago Style

Abdulghani, Yasser Seddeg, Mohammed Awad Elzain, Abubakr Darrag Salim Ahmed, and Salaheldin Awad Abdelhalim. "Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series." Sudanese Journal of Paediatrics 21 (2021), 61-66. doi:10.24911/SJP.106-1589487269



MLA (The Modern Language Association) Style

Abdulghani, Yasser Seddeg, Mohammed Awad Elzain, Abubakr Darrag Salim Ahmed, and Salaheldin Awad Abdelhalim. "Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series." Sudanese Journal of Paediatrics 21.1 (2021), 61-66. Print. doi:10.24911/SJP.106-1589487269



APA (American Psychological Association) Style

Abdulghani, Y. S., Elzain, . M. A., Ahmed, . A. D. S. & Abdelhalim, . S. A. (2021) Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series. Sudanese Journal of Paediatrics, 21 (1), 61-66. doi:10.24911/SJP.106-1589487269





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