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Anticipation of sudden seizures, patients with this disease are not permitted to drive vehicles

Written By Hanny & Melissa on Friday, May 03, 2019 | Friday, May 03, 2019

Bacterial infections that cause accumulation of pus in the brain, and swelling of these organs are called Brain Abscesses.

This condition usually occurs after bacteria or fungi enter the brain tissue, due to head injury or infection to other tissues.

Although rare, a brain abscess is an infectious disease that can endanger life and must be dealt with immediately.

Anyone can experience it, but this risk generally increases in people with a history of diseases such as:

1. Sinusitis

2. Meningitis.

3. HIV / AIDS, cancer, and chronic diseases.

4. Infection of the middle ear (Otitis media).

5. Congenital Heart Disease (CHD), such as the Tetralogy of Fallot (ToF).

In addition, the risk of brain abscess is also quite high in someone who has a severe head injury or skull fracture, has had an organ transplant, is using immunosuppressive drugs, or is undergoing chemotherapy.

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The main cause of brain abscess is the presence of bacterial or fungal infections that enter the brain tissue, because the immune system cannot fight it.

Actually the body is equipped with an immune system that functions to maintain important organs. But in certain cases, germs can enter through blood vessels and attack the brain.

Infection that enters the brain will accumulate in brain tissue and form lumps of pus. Certain diseases that can cause brain abscesses are:

1. Cyanotic heart disease.

- One type of congenital heart disease that results in the heart being unable to drain oxygen throughout the body and trigger infection.

2. Pulmonary arteriovenous fistula.

- An abnormality that occurs in the pulmonary blood vessels, causing bacteria to enter the blood and flow to the brain.

3. Tooth abscess.

4. Infection.

- These conditions include pulmonary infections (Eg pneumonia), heart infections (Such as endocarditis), infections in the abdominal cavity (Eg peritonitis), pelvic infections (Eg cystitis), and skin infections.


symptoms of brain abscess are usually felt within weeks after infection, or sometimes directly. The following are a series of symptoms that can occur including:

1. Great dizziness.

2. Nausea and vomiting.

3. High fever (Above 38 C).

4. Shivering.

5. Behavior changes, such as feeling anxious or dazed.

6. The neck feels stiff.

7. Seizures.

8. Decreased ability to feel sensations, move muscles, or speak.

9. Impaired vision, such as double vision, blurring, or blur.

As for some symptoms that can be seen if your baby or child has a brain abscess, including Taurus:

- Gag.

- Crying in a high tone.

- The body's muscles look stiff.

Immediately check with your doctor if symptoms continue to be felt, especially for those who experience sudden seizures, speech starts to become unclear, muscles weaken, or paralyzed.


Considering that brain abscesses are often triggered by certain diseases, it is recommended to carry out regular checks so that this condition can be prevented as early as possible.

For those who suffer from heart disorders, doctors will usually give a series of antibiotics before doing dental treatment or other measures to prevent the risk of infection spreading to the brain.

Advised to always tell the doctor, before taking any medical action while undergoing brain abscess treatment.


Brain abscess is an emergency condition and needs to be dealt with immediately. Treatment is usually done in a hospital with antibiotics or antifungal drugs until the patient enters a stable stage.

Sometimes, diuretic drugs can also be prescribed. However, if the patient's condition is bad enough, the doctor can suggest surgery. And the following are the criteria for brain abscesses treated with drugs:

1. An abscess smaller than 2 cm.

2. Abscesses are at several points.

3. Abscesses are located in the deepest part of the brain.

4. Patients experience meningitis.

5. Hydrocephalus occurs.

6. Toxoplasmosis in people with HIV or AIDS.

If the sufferer has an abscess measuring above 2cm, at risk of rupture in the brain or has an element of gas in it, an ordinary doctor will suggest lifting it through surgery.

There are 2 types of actions commonly used, namely simple aspiration and craniotomy. Simple aspiration is done by drilling a small hole (Or commonly called a burr hole) in the skull so that pus can be removed.

This action is usually done with the help of a CT scan tool to ascertain the point of the abscess. This operation tends to require a short time, which is about 1 hour.

If medication or simple aspiration measures do not help, a craniotomy will be performed.

In this action, the doctor will cut a small portion of hair on the scalp and remove a small portion of the skull (Flap) to open access to the brain.

Then, the abscess will be fully removed after the pus is cleared and the bone flap will be returned to its original position when the action is complete. CT scan is also used to help doctors relocate abscess points.

This operation will take longer, which is around 3 hours. After this surgery, the patient needs a full rest for 6-12 weeks. Some complications, though rare, can occur after surgery for a craniotomy, such as swelling or bruising on the face, months of dizziness, blood clots in the brain, stiff jaws, or a shift in bone flaps.

Routine control is needed to reduce the risk of these complications. It is recommended to avoid activities that are considered dangerous for the skull after surgery is performed, such as playing soccer or boxing. Sufferers are also not allowed to drive a vehicle until the doctor allows it, in anticipation of a sudden seizure.

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