Multiple brain abscesses treated by extraction of the maxillary molars with chronic apical lesion to remove the source of infectionopen access
- Authors
- Jung, Ki-Hyun; Ro, Seong-Su; Lee, Seong-Won; Jeon, Jae-Yoon; Park, Chang Joo; Hwang, Kyung Gyun
- Issue Date
- 2019
- Publisher
- 대한악안면성형재건외과학회
- Keywords
- Brain abscess; Odontogenic infection; Extraction
- Citation
- Maxillofacial Plastic and Reconstructive Surgery, v.41, no.7, pp.1 - 5
- Indexed
- SCOPUS
KCI
- Journal Title
- Maxillofacial Plastic and Reconstructive Surgery
- Volume
- 41
- Number
- 7
- Start Page
- 1
- End Page
- 5
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/148691
- DOI
- 10.1186/s40902-019-0208-2
- ISSN
- 2288-8101
- 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.
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