Brain abscess complicating intracerebral hemorrhage

J Korean Neurol Assoc > Volume 15(2); 1997 > Article

Journal of the Korean Neurological Association 1997;15(2): 417-420.

이애영, 전종현,김재문

전남대학교 의대 신경과

Brain abscess complicating intracerebral hemorrhage

Ae Young Lee, M.D., Jong Heun Jeon, M.D., Jae Moon Kim, M.D.

Department of Neurology, Chungnam National University Medical College and Hospital. Department of Neurology, Sun Hospital, Taejon, Korea

Abstract

Brain abscess is a common bacterial infection of the central nervous system. Previously, the most common source of brain abscess is from the otorrhinologic infection, the hematogenous spread of infection from a distant site to the central ner vous system is increased(Alvord & Shaw, 1977; Zimmerman & Weingerten, 1991). Since intact brain parenchyma is usually resistant to inecton, focal areas of ischemia or necrosis are a prequisite to invasion by pathogenic microorganisms(Patric & Kaplan, 1988). There have been a few reports about the stroke lesions changed into brain abscess(Chen et al, 1995; Scully et al. 1991). We report serial brain images with the clinical observations in a patient with a transformation of spontaneous intracerebral hemorrhage into brain abscess.