Cerebral Abscess

Question 1

What causes a cerebral abscess?

Answer 1

Usually follows an infection

Question 2

What infected structures does a cerebral abscess usually form from?

Answer 2

Sinuses
Ear
Dental

Question 3

What is the most common organism from the mouth that causes a cerebral abscess?

Answer 3

Streptococcus Milleri

- Oropharyngeal anaerobes

Question 4

What are the symptoms of a cerebral abscess?

Answer 4

Depends on area affected

• Can present with weakness/parasthesia of one side
• Dysarthria
• Seizures
• Fever

Question 5

What are the signs of a cerebral abscess?

Answer 5

• RAISED ICP
• Signs of sepsis
• Can have reduced consciousness

Question 6

What tests should be done for cerebral abscess?

Answer 6

CT/MRI

Biopsy for MC&S

Bloods

Question 7

What type of lesion will be seen on CT/MRI for cerebral abscess?

Answer 7

Ring enhancing lesion

Question 8

What blood results will a cerebral abscess have?

Answer 8

Raised

• WCC
• ESR

Basically signs of infection

Question 9

What is the first thing you need to treat with a cerebral abscess?

Answer 9

ICP

Question 10

What pharmacological treatment should be done for CA?

Answer 10

Antibiotics

• Ceftriaxone
• Metronidazole