Cerebral abscess of odontogenic origin
| Autor: | Fotios Tzerbos, Iossif Boutsikakis, Maria Mihalaki, Anastassios I. Mylonas, Dimitrios Rologis |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Panoramic radiograph medicine.medical_treatment Brain Abscess Physical examination Dental Caries Parietal Lobe Humans Medicine Abscess Brain abscess Periodontal Diseases Craniotomy Odontogenic infection Epilepsy medicine.diagnostic_test Focal Infection Dental business.industry Periapical Diseases Middle Aged medicine.disease Focal infection theory Anti-Bacterial Agents Surgery Paresis Hemiparesis Otorhinolaryngology Tooth Extraction Oral Surgery medicine.symptom business Follow-Up Studies |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery. 35:63-67 |
| ISSN: | 1010-5182 |
| DOI: | 10.1016/j.jcms.2006.10.004 |
| Popis: | Summary Introduction Cerebral abscess is a rare but serious and life-threatening infection. Dental infections have occasionally been reported as the source of bacteria for such an abcess. Patient and methods A 54-year-old man was admitted with a right hemiparesis and epileptic fits. After clinical, laboratory and imaging examination, the diagnosis of a cerebral abscess of the left parietal lobe was made. The intraoral clinical examination as well as a panoramic radiograph confirmed the presence of generalized periodontal disease, multiple dental caries, and periapical pathology. The treatment included: (i) Immediate administration of high-dose intravenous antibiotics and (ii) surgical procedures consisting of craniotomy and resection of the abscess cavity first, and secondly removal of the periodontal, decayed and periapically involved teeth of the patient, in an effort to eradicate all the possible septic foci, presuming the cerebral abscess to be of odontogenic infection. Results The patient made an uneventful recovery, and 29 months postoperatively he had completely recovered from the hemiparesis. |
| Databáze: | OpenAIRE |
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