Management of brain abscess associated with halo fixation: Case report

Toba Niazi, Alfredo Quinones-Hinojosa, Meic H. Schmidt

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Halo orthoses are commonly used in the management of a variety of cervical spinal pathological conditions. Although placement of the cranial pins was initially believed to be safe with minimal complications, minor complications related to the cranial pins have the potential to create a setting for formation of cerebral abscesses. The risk of death due to cerebral abscesses has declined in the modern antibiotic era, but cerebral abscesses are associated with long-standing neurological morbidity that should not be considered negligible. Prevention by careful pin placement and hygiene and appropriate early management are crucial to prevent more serious complications. The authors report the case of a patient treated with a halo orthosis after incurring cervical spinal trauma who developed a cerebral abscess as a complication related to the cranial pins of the halo fixation device. They review the literature in an attempt to formulate a standardized treatment algorithm to prevent this disease process and to treat an abscess if it should form.

Original languageEnglish (US)
Article numberE14
JournalNeurosurgical Focus
Volume24
Issue number6
DOIs
StatePublished - 2008
Externally publishedYes

Fingerprint

Brain Abscess
Orthotic Devices
Hygiene
Abscess
Anti-Bacterial Agents
Morbidity
Equipment and Supplies
Wounds and Injuries
Therapeutics

Keywords

  • Cerebral abscess
  • Cranial pin
  • Halo orthosis
  • Inner table of skull

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Management of brain abscess associated with halo fixation : Case report. / Niazi, Toba; Quinones-Hinojosa, Alfredo; Schmidt, Meic H.

In: Neurosurgical Focus, Vol. 24, No. 6, E14, 2008.

Research output: Contribution to journalArticle

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