PEDIATRICS Vol. 72 No. 2 August 1983, pp. 220-224
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Medical Cure of Apparent Brain Abscesses

Margaret B. Rennels MD1, Celeste L. Woodward MD1, Walker L. Robinson MD1, Maria T. Gumbinas MD1, and Joel I. Brenner MD1

1 Departments of Pediatrics and Neurosurgery, University of Maryland School of Medicine, Baltimore

Two children with apparent brain abscesses were cured with antibiotic therapy. Review of the literature reveals clinical and experimental evidence that both cerebritis and an encapsulated abscess may appear as an enhancing ring lesion on cranial computed tomography. Patients reported to have had brain abscesses cured without surgery actually may have had cerebritis. There are only preliminary hints as to how to differentiate patients with cerebritis from those with an abscess. More experience is necessary to develop criteria to determine which patients may be appropriately treated with antibiotic therapy alone.

Submitted on November 15, 1982
Accepted on December 2, 1982