Dr Sana Khalid, Dr Ahsan Ali,Dr Tuba Khan
Objective: The aim of this study is to determine the predisposing factors and management outcomes in the children present with brain abscess. Methodology: This study is prospective research work performed in DHQ Hospital Abbottabad from August 2017 to January 2020. All the children having up to 14 years of age and suffering from Brain Abscess got admission in the hospital. After obtaining the clinical history of the patients, we performed the necessary physical investigation and other related examinations. Evacuation of the abscess was carried out and excision of the wall of abscess was performed after application of craniotomy. The collection of the data was carried out on well-organized Performa. We analyzed the results and compared these results with local and international data with the usage of SPSS V.23. Results: In this research work, we included 25 patients up to the age of 14 years. 68% (n:17) patients were males and 32% patients (8) were female. There was presence of vomiting and fever in all patients. The predisposing contributory factors were paranasal sinusitis in 36.0% (n: 9) patients followed by otitis media in 28.0% (n: 7) patients. There was presence of abscess in frontal lobe in 36.0% (n: 9) patients, in temporo-parietal site in 32.0% (n: 8) patients, posterior fossa in 20.0% (n: 5) patients and there was presence of multiple abscesses in 12.0% (n: 3) patients. We performed the craniotomy, evacuation of the pus was carried out, and we excised the wall of abscess in all the patients. There was expiry of 12.0 (n: 3) patients. Conclusion: It is possible to decrease the rate of prevalence of Brain Abscess with the treatment of its predisposing reasons line sinusitis and otitis media. Treatment of the abscesses of smaller size of less than 2.0cm is possible through antibiotics. Complete pus evacuation and abscess wall’s excision after performance of craniotomy in combination with proper antibiotics is ideal standard for the administration of brain abscess among children. KEYWORDS: Antibiotics, Craniotomy, Brain Abscess, Pediatrics, Otitis Media, Sinusitis, Evacuation, Excision.