BRAIN-ABSCESS IN ADULT CONGENITAL CYANOTI C HEART-DISEASE

A 27-year-old patient with pulmonary atresia, ventricular septal defec t, and multifocal lung-perfusion suddenly developed headache and left facial sensory disturbances. Using computed tomography and magnetic re sonance imaging a temporo-parietal brain abscess was diagnosed. After abscess aspiration and antibiotical therapy neurological signs disappe ared immediately and the patient could leave hospital without any neur ological deficit. Adult patients with congenital cyanotic heart diseas e are at risk to develop a brain abscess which should therefore be rul ed out if headache, fever of unknown origin or focal neurologic signs occur.