BRAIN - Abscess

On the undersurface of the medial part of the left frontal lobe there is an opened abscess cavity; this communicates with the left lateral ventricle and extends down in front of the brain stem in midline. The right frontal lobe is distorted medially and there is evidence in pigmentation of old haemorrhage, and on the right there is apparent adhesion between the meninges and the dura.
This child suffered facial and head injuries in a motor vehicle accident five years before her death; in the intervening period she had a number of admissions with meningitis, culminating in a chronic brain abscess.