CC BY-NC-ND 4.0 · Asian J Neurosurg 2017; 12(04): 743-745
DOI: 10.4103/ajns.AJNS_194_14
Case Report

An adult with atrial septal defect presenting with a brain abscess

Bijesh Nair
Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu
,
Edmond Jonathan
Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu
,
Ranjith Moorthy
Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu
,
Vedantam Rajshekhar
Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu
,
Oommen George
1   Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu
› Author Affiliations

The common heart diseases resulting in a brain abscess are associated with a right to left shunt and include tetralogy of Fallot and transposition of great vessels. Atrial septal defect (ASD) is almost always associated with the left to right shunt and therefore is not a commonly considered risk factor for brain abscess. We report the case of a 29-year-old male, with no symptoms of cardiac disease, who presented with the left posterior frontal pyogenic abscess which led to the detection of a silent ASD. Our case emphasizes the need for a careful evaluation of the source of infection in patients with a brain abscess.



Publication History

Article published online:
20 September 2022

© 2017. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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