頭蓋内膿瘍
WordNet
- symptom consisting of a localized collection of pus surrounded by inflamed tissue
- within the skull
- infected and filled with pus; "an abscessed tooth"
PrepTutorEJDIC
- 膿瘍(のうよう)(うんだできもの)
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Heterozygous congenital Factor VII deficiency with the 9729del4 mutation, associated with severe spontaneous intracranial bleeding in an adolescent male.
- Cramer TJ1, Anderson K2, Navaz K3, Brown JM4, Mosnier LO5, von Drygalski A6.
- Blood cells, molecules & diseases.Blood Cells Mol Dis.2016 Mar;57:8-12. doi: 10.1016/j.bcmd.2015.11.004. Epub 2015 Nov 10.
- BACKGROUND: In congenital Factor (F) VII deficiency bleeding phenotype and intrinsic FVII activity levels don't always correlate. Patients with FVII activity levels <30% appear to have a higher bleeding propensity, but bleeding can also occur at higher FVII activity levels. Reasons for bleeding a
- PMID 26852649
- Orbital Infection Threatening Blindness Due to Carious Primary Molars: An Interesting Case Report.
- Arunkumar KV1.
- Journal of maxillofacial and oral surgery.J Maxillofac Oral Surg.2016 Mar;15(1):72-5. doi: 10.1007/s12663-015-0801-6. Epub 2015 May 8.
- INTRODUCTION: Distant spread of infection due to dental abscess in head and neck region is often reported in the literature. Orbital cellulitis or abscess although rare as a complication from decayed primary teeth in children is not an exception. The periapical infection from the maxillary primary m
- PMID 26929556
- Toxic levels of ammonia in human brain abscess.
- Dahlberg D1, Ivanovic J1, Hassel B2,3.
- Journal of neurosurgery.J Neurosurg.2016 Mar;124(3):854-60. doi: 10.3171/2015.1.JNS142582. Epub 2015 Aug 14.
- OBJECT Brain abscesses could lead to cerebral symptoms through tissue destruction, edema, changes in brain architecture, and increased intracranial pressure. However, the possibility that the pus itself could contribute to symptoms has received little attention. Brain abscesses are areas of tissue d
- PMID 26274996
Japanese Journal
- 田口 大藏,福島 慶,竹内 裕美 [他],神部 敦司,黒崎 雅道,渡辺 高志,北野 博也
- 耳鼻咽喉科臨床 105(7), 637-640, 2012-07-01
- … We report on the case of a 51-year-old male with a brain abscess secondary to chronic sinusitis. … In this patient, intracranial extension developed via the direct route through the bone defect in the posterior wall of the left frontal sinus. … At present, about 10 months after the treatment, the patient has no recurrence of the brain abscess. …
- NAID 10030773569
- ムコイド型肺炎球菌を起因菌とした耳性頭蓋内合併症の2例
- 桑内 麻也子,奥野 妙子,畑 裕子,松本 有,小嶋 康隆
- Otology Japan 22(2), 141-147, 2012-05-25
- NAID 10030646737
Related Links
- intracranial abscess See brain abscess. intracranial abscess Neurology A localized pus pocket that may be related to trauma, acute otitis interna, sinusitis Imaging CT or if stable, MRI abscess (ab'ses) [L. abscessus, a going away]
- Intracranial abscess symptoms, causes, diagnosis, and treatment information for Intracranial abscess (Brain abscess) with alternative diagnoses, full-text book chapters, misdiagnosis, research treatments, prevention, and prognosis. ...
★リンクテーブル★
[★]
- 英
- brain abscess, cerebral abscess
- 同
- 頭蓋内膿瘍 intracranial abscess
- 関
概念
分類
病原体
- see IRE.452
- 細菌性脳膿瘍：連鎖球菌、嫌気性菌、グラム陰性桿菌、黄色ブドウ球菌。連鎖球菌(50-70%)、黄色ブドウ球菌(10-15%)
- 真菌性脳膿瘍：アスペルギルス感染、ムコール症、シュードアレッシェリア症
- 原虫性脳膿瘍：トキソプラズマ症
病期
- see SCN.350
病因
- 心疾患：心内膜炎、右左シャントを伴う心疾患()。血行性に中大脳動脈領域に発生。細菌塞栓による脳梗塞が起こると、細菌は容易に脳組織に移行 (SCN.350)
- 耳鼻科疾患：副鼻腔炎、中耳炎。好発部位は副鼻腔炎で前頭葉、中耳炎では側頭葉、小脳 (SCN.350)
- 開放性外傷：
YN.J-142
疫学
- 30歳代。先天性心疾患、副鼻腔炎、中耳炎の好発年齢と一致。 (SCN.350)
病態
症状
- 発熱、頭痛、嘔吐、意識障害、痙攣で発症。 (SCN.350)
- 髄膜炎と異なり、片麻痺、精神症状、局所痙攣などの局所症状も呈する。 (SCN.350)
検査
血液検査
脳脊髄液
- 細胞数の軽度増加 (SCN.350)
- 所見に乏しく、診断にはあまり有用でない、らしい。
頭部CT
- 単純CT：白質＞白質浮腫領域＞病変＞脳室
- 造影CT：リング上の増強。 ← 被膜形成期に造影剤により増強効果を示す(SCN.350) ← 生体の感染に対する防御反応
頭部MRI
- T1：low intensity
- T2：high intensity
[show details]
診断
鑑別診断
- CT画像上、グリオーマ、転移性脳腫瘍と鑑別。炎症所見が乏しいことが鑑別のカギ(SCN.350)
治療
- IRE.446-
-
-
- 抗菌薬による治療期間は4-6週間(時に8週間) (IRE.449)
- ステロイド：脳圧亢進、脳ヘルニアの危険が迫っている場合に使用。
- 抗痙攣薬：ジアゼパム、フェニトイン
SCN.3550
- 病期のよって治療が変わる
- 脳炎の時期：抗菌薬(経験的に広域スペクトラムの第三世代セフェムを使用)＋脳圧降下薬
- 皮膜形成期：ドレナージ
予後
参考
- http://www.masa.go.jp/nes/library/ba.html
国試
[★]
- 英
- intracranial abscess
- 関
- 脳膿瘍
[★]
- 関
- intracerebral、intracerebrally、intracranially