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Гной скапливается в мозговых структурах или прилегающих к ним областях [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). Выделяют три типа абсцессов [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/): \n* **Внутримозговой** — гной скапливается непосредственно в тканях головного мозга [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). \n* **Субдуральный** — гнойное образование формируется между мозгом и его твёрдой оболочкой [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). \n* **Эпидуральный** — гной находится между костями черепа и твёрдой мозговой оболочкой [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/).\n\n\n\n## Причины\nЧаще всего абсцесс возникает как результат инфекции, проникшей в центральную нервную систему [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). Некоторые причины: \n* **Инфекция** — патогенные микроорганизмы попадают в мозг через кровоток или путём прямого распространения из близлежащих анатомических структур [11](https://yandex.ru/medicine/disease/abstsess-golovnogo-mozga). \n* **Травма** — повреждения головы, такие как переломы черепа или проникающие ранения, формируют путь для проникновения бактерий в орган и появления гноя [11](https://yandex.ru/medicine/disease/abstsess-golovnogo-mozga). \n* **Хирургия** — оперативные вмешательства на мозге или близлежащих структурах иногда приводят к развитию абсцесса, особенно если во время или после процедуры развивается инфекционный процесс [11](https://yandex.ru/medicine/disease/abstsess-golovnogo-mozga).\n\n## Симптомы\nПроявления абсцесса головного мозга зависят от локализации гнойника, его размеров и скорости роста [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). Общие признаки неспецифичны и могут напоминать клинику других объёмных процессов в полости черепа, включая опухоли [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). Некоторые распространённые симптомы: \n* головная боль различной интенсивности [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/); \n* тошнота и рвота, не связанные с приёмом пищи [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/); \n* повышение температуры тела [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/); \n* нарушения сознания [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/); \n* очаговая неврологическая симптоматика (например, слабость конечностей, судороги, нарушение речи и координации) [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/).\n\n## Диагностика\nТочный диагноз устанавливается с использованием методов нейровизуализации — компьютерной томографии (КТ) и магнитно-резонансной томографии (МРТ) головного мозга [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). Эти методы позволяют определить локализацию, размеры и структуру образования, а также оценить степень давления на окружающие ткани [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/).\n\n## Лечение\nТактика лечения подбирается в зависимости от величины абсцесса, его расположения и состояния пациента [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). Если абсцесс имеет небольшой диаметр и не вызывает выраженного внутричерепного давления, возможно проведение **консервативной терапии** — с применением мощных антибиотиков и противовоспалительных препаратов [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). \n\n**Хирургическое вмешательство** необходимо при угрозе прорыва гнойника, его близком расположении к желудочковой системе мозга или быстром ухудшении состояния пациента [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). В случае невозможности полноценной операции применяют **стереотаксическую пункцию** — минимально инвазивную процедуру по удалению гноя с помощью специального оборудования под контролем нейронавигации [3](https://fdoctor32.ru/reference-book-of-diseases/brain-abscess/). \n\n**Важно!** При подозрении на абсцесс головного мозга необходимо обратиться к врачу [11](https://yandex.ru/medicine/disease/abstsess-golovnogo-mozga). 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