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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 781-785
DOI: 10.4103/ajns.AJNS_51_20
Case Report

Asymptomatic brain abscess following decompressive craniotomy for stroke – A report of two cases and review of the literature

Raja Kutty
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Sunilkumar Sreemathyamma
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Jyothish Sivanandapanicker
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Abhishek Vijayan
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Prasanth Asher
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Anilkumar Peethambaran
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
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Stroke is a significant health problem in both developed and developing nations. The treatment strategies of stroke differ among various centers depending on the available expertise. Nevertheless, stroke contributes to a major economic burden for patients and health institutions. The recovery period after stroke is a critical period wherein various complications can develop in survivors. Among these multiple complications, the formation of brain abscess in the infarcted brain tissue is rare and less well described in the literature. Fever or signs of raised intracranial pressure are the usual manifestation of poststroke brain abscess. We present two unique cases of large brain abscess in patients who survived a malignant stroke. Both the patients were recuperating well after decompressive craniectomy for stroke without any signs of intracranial infection or raised intracranial pressure. Both the patients underwent open drainage of brain abscess, followed by delayed cranioplasty. There are only a few cases of brain abscess reported in the literature in patients who underwent decompressive craniectomy for stroke.

Key-words:

Brain abscess - cerebral infarction - decompressive craniectomy

Financial support and sponsorship

Nil.




Publication History

Received: 09 February 2020

Accepted: 29 April 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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