V. Brain Abscesses
D. Spinal Fluid Changes:
Usually increased pressure, relatively few cells, mildly elevated white cell count and protein level, normal glucose (reactive meningitis).
E. Clinical presentation:
Progressive focal deficits, general signs of increased intracranial pressure.
F. Complications:
Space occupying mass and edema with herniation; necrosis of functional tissue. Abscesses may rupture into ventricles or subarachnoid space, resulting in ependymitis and meningitis. Seizures occur in approximately 50% of cases. |