Multiple brain abscesses treated by extraction of the maxillary molars with chronic apical lesion to remove the source of infection
- Title
- Multiple brain abscesses treated by extraction of the maxillary molars with chronic apical lesion to remove the source of infection
- Author
- 황경균
- Keywords
- Brain abscess; Odontogenic infection; Extraction
- Issue Date
- 2019-07
- Publisher
- SPRINGEROPEN
- Citation
- Maxillofacial Plastic Reconstructive Surgery, v. 41, no. 1, article no. 25
- Abstract
- Abstract Background: Brain abscess is a life-threatening condition that occurs due to complications during a neurosurgical procedure, direct cranial trauma, or the presence of local or distal infection. Infection in the oral cavity can also be considered a source of brain abscess.
Case presentation: A 45-year-old male patient was transported with brain abscess in the subcortical white matter. Navigation-guided abscess aspiration and drainage was performed in the right mid-frontal lobe, but the symptoms continued to worsen after the procedure. A panoramic radiograph showed alveolar bone resorption around the maxillary molars. The compromised maxillary molars were extracted under local anesthesia, and antibiotics were applied based on findings from bacterial culture. A brain MRI confirmed that the three brain abscesses in the frontal lobe were reduced in size, and the patient’s symptoms began to improve after the extractions.
Conclusion: This is a rare case report about multiple uncontrolled brain abscesses treated by removal of infection through the extraction of maxillary molars with odontogenic infection. Untreated odontogenic infection can also be considered a cause of brain abscess. Therefore, it is necessary to recognize the possibility that untreated odontogenic infection can lead to serious systemic inflammatory diseases such as brain abscess. Through a multidisciplinary approach to diagnosis and treatment, physicians should be encouraged to consider odontogenic infections as a potential cause of brain abscesses.
- URI
- https://jkamprs.springeropen.com/articles/10.1186/s40902-019-0208-2https://repository.hanyang.ac.kr/handle/20.500.11754/152031
- ISSN
- 2288-8101; 2288-8586
- DOI
- 10.1186/s40902-019-0208-2
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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