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01-10-2014 | Clinical Article - Conference Report

Brain abscess associated with patent foramen ovale

Authors: Hirokazu Sadahiro, Sadahiro Nomura, Akinori Inamura, Akiko Yamane, Kazutaka Sugimoto, Yuichi Fujiyama, Michiyasu Suzuki

Published in: Acta Neurochirurgica | Issue 10/2014

Abstract

Background

Brain abscesses can develop with Tetralogy of Fallot and pulmonary anterior venous fistula with large right-to-left shunt. However, some patients exhibit cryptogenic brain abscess (CBA) in the absence of any such congenital disease or other infections. Patent foramen ovale (PFO) is a very common disease that exhibits right-to-left shunt. This study reports the potential for concern between CBA and PFO.

Methods

We enrolled patients with CBA in our hospital between January 2003 and January 2013. Patients underwent transesophageal echocardiography (TEE) with contrast medium to investigate the presence of PFO.

Results

Seven patients were included. Four were females, and the mean age was 67.7 ± 9.2 years. In all patients, TEE failed to reveal any new findings, however, six patients had PFO, and another patient had pulmonary arteriovenous shunt. Four patients had odontopathy.

Conclusion

In this study, all CBA patients exhibited right-to-left shunt. CBA might be caused by paradoxical embolization of a bacterial mass via PFO. Thus, more patients with CBA need to undergo TEE to detect PFO.

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Title: Brain abscess associated with patent foramen ovale
Authors: Hirokazu Sadahiro
Sadahiro Nomura
Akinori Inamura
Akiko Yamane
Kazutaka Sugimoto
Yuichi Fujiyama
Michiyasu Suzuki
Publication date: 01-10-2014
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 10/2014
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-014-2170-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Brain abscess associated with patent foramen ovale

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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