Pyogenic Thalamic Brain Abscess in the Setting of a Ventricular Septal Defect

Gary A. Bergen, Paul M Wallach, Harold M. Adelman

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Abstract

Congenital heart disease occurs in 8 of 1,000 live births, with ventricular septal defects comprising 30% of these. Although many are now corrected surgically in infancy or childhood, persisting septal defects in adulthood increase the risk of congestive heart failure. irreversible pulmonary hypertension with resulting Eisenmenger's physiology, infective endocarditis, aortic insufficiency, systemic abscesses, and polycythemia. The acute onset of fever and meningeal signs in a 38-year-old man led to the discovery of a pyogenic thalamic brain abscess associated with a large ventricular septal defect and a tricuspid vegetation. To date, only 19 similar solitary pyogenic thalamic abscesses have been reported, and 5 were associated with ventricular septal defects.

Original languageEnglish (US)
Pages (from-to)151-153
Number of pages3
JournalJournal of Neuroimaging
Volume1
Issue number3
DOIs
StatePublished - Aug 1 1991

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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