Abscesses of the cerebellum

Abscesses of the cerebellum in the vast majority are otogenny. In chronic otitis abscesses occur about 4 times more often than in the acute. Metastatic abscesses in infectious processes, developing outside of the ear, when septicopyemia are rare. Infectious encephalitis, developing in the white matter, gradually turns into a festering, and at the formation of a capsule - an abscess of the cerebellum. In the abscess cavity mg occurs diverse microbial flora, often streptococci and staphylococci.
In symptomatology and for abscess has much in common with tumors M
In most patients with uncomplicated brain abscesses normal or subfebrile temperature, but on this background (especially early in the disease) are often mentioned episodic temperature increase above 38o, accompanied by the chilling or chills. Often detected a moderate leukocytosis blood exceeding 10 000, sometimes a small shift leukocyte blood left. Meningeal symptoms in the majority of cases associated with abscesses of the cerebellum. At very high leukocytosis, exceeding 18 000, and significant shifts leukocyte blood can be assumed development of meningitis or sepsis or a combination of brain abscesses with sisustamisel. For further diagnosis shown lumbar puncture; cerebrospinal fluid should release slowly, not more than 2 ml, without removing the mandrel of a needle; otherwise (with the rapid and abundant after CSF) may omission and the infringement of the tonsils M with a stop in breathing.
The pressure of the cerebrospinal fluid with abscesses of the cerebellum high. In the study usually detected increased levels of protein and moderate, mainly lymphocytic, Placitas (within 20 to 200 cells in 1 mm3). Pleoticus tends to increase accordingly involvement in the process of the meninges and the spread of infection beyond the abscess cavity.
Cerebellar and approaches vestibular symptoms of abscess usually detected less and less pronounced than in tumors M. the most Important local trait is nystagmus at the height of hypertensive attack, and his absence in light period. In a stage of increase of intracranial pressure manifested supratentorial hydrocephalic symptoms. Changes in the fundus of the eye when the abscess cerebellum depend on the stage of the disease. As with cancer, congestive nipples optic nerves in abscesses M progressing rapidly, but threats, forcing rush to surgery, it is often manifest themselves and to the stage of development of congestive nipples. There occlusive attacks with cardiovascular disorders and respiratory distress, until severe disorders or sudden stop breathing. The growth of stem disorders makes hurry surgical intervention. From complications of abscess observed perifocal purulent encephalitis (can develop not only in the unencapsulated public abscess, but if there formed capsules), a breakthrough abscess cavity of the fourth ventricle and development encysted or generalized purulent meningitis.
In all cases of inflammatory diseases of the cerebellum, even if there is no convincing evidence of an abscess is present, shown antibacterial treatment with use of antibiotics; such treatment can cause some stabilization of the inflammatory process, the symptoms become less severe due to the decrease of shell reactive phenomena and perifocal changes. In this period can be normalized temperature, reduced shifts in the blood and cerebrospinal fluid. However, the interim relative prosperity does not exclude the diagnosis of abscess and in the future, there is a progression of the disease. The diagnosis of the abscess is an indication for surgical intervention that combined with the use of antibiotics, sulfa drugs and dehydration therapy (pre - and postoperative periods).