Brain Abscess as A Complication of Chronic Thromboembolic Pulmonary Hypertension – A Rare Case Report
2027-2028
Correspondence
Dr. Santhanam R,
Associate Professor, Department of Neurosurgery, Sree Balaji Medical College and Hospital,
No 7, CLC Works Road, Chromepet, Chennai – 600044, Tamil nadu, India.
Phone: 9445349440, E-mail: drsanthanam79@yahoo.co.in
A brain abscess is a life threatening condition which can occur as a complication of various clinical conditions. An intra–cerebral abscess which occurs as a complication of pulmonary arterial hypertension is extremely rare. The present report has described such an uncommon case of an intra–cerebral abscess in a chronic pulmonary thrombo embolism patient with pulmonary hypertension. A–34–year old male who was a known case of chronic pulmonary thrombo embolism with pulmonary artery hypertension, who was diagnosed 6 months back, presented to the Out Patients Department (OPD) with headache and vomiting. He had right homonymous hemianopia. Contrast MRI (Magnetic Resonance Imaging) of brain showed a peripherally enhancing lesion in the left temporo-occipital lobe, with oedema and a mass effect. Left parieto–occipital craniotomy and excision of the abscess was done. Staphylococcus aureus was isolated from the aspirated pus.