Cerebral Abscess: A Complex Complication of Odontogenic Infection: A Case Report and Review of the Literature

Js, Daniels; Albakry, Ibrahim; Ro, Braimah; Mi, Samara

doi:10.35702/surg.10004

Cited by 1 publication

(11 citation statements)

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“…[13,19,34] This mainly applies to brain abscesses resulting from subacute or chronic otitis media or mastoiditis. [24,35] When the source of infection is the oral cavity or paranasal sinuses, the frontal lobe is the most common location of a brain abscess. [13,35] The increased risk of odontogenic brain abscesses is attributed to the inflammatory processes in the molars, maxilla, and mandible.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…[24] Several cases of brain abscesses have been reported in previously healthy, immunocompetent patients with poor oral hygiene or after dental treatment. [24]…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, the source of infection cannot be determined in 10-60% of patients diagnosed with a CNS abscess [42,43] ; Ewald et al referred to these types of abscesses as cryptogenic or idiopathic. [17,24,33] The location of the brain abscess does not necessarily correlate with the site of infection in the oral cavity, suggesting that the bacteria most likely enter the skull by hematogenous spread rather than by venous drainage. [3] The hematogenous route is considered the most important mechanism for the spread of inflammatory processes from the oral cavity to the inside of the skull with the formation of brain abscesses.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with immunodeficiency secondary to HIV infection, alcohol abuse, diabetes, chemotherapy, or malignancy are at a higher risk of developing brain abscesses. [24] Several cases of brain abscesses have been reported in previously healthy, immunocompetent patients with poor oral hygiene or after dental treatment. [24] Determining the cause of odontogenic brain abscesses requires the maxillofacial surgeon and dentist to know the basic mechanisms of spreading inflammatory processes from the oral cavity to the inside of the skull.…”

Section: Discussionmentioning

confidence: 99%

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Potential infection foci in the oral cavity and their impact on the formation of central nervous system abscesses: A literature review

Abed,

Paciorek,

Bursa

2023

Medicine

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Despite advancements in preventive, diagnostic, and therapeutic activities in medicine, inflammatory processes of the central nervous system remain a significant problem, posing a serious threat to life and health. Purulent central nervous system infections are unique, including abscesses of the brain and spine, which are severe infections occurring in 0.4% to 0.9% of 1000 patients worldwide. Central nervous system abscesses have varying etiology. For example, organized, encapsulated abscesses of the brain are a unique group of inflammatory processes in the central nervous system caused by inflammation around the teeth in 3% to 10% of cases. Sometimes, the condition of patients with brain abscesses is severe and life-threatening. Therefore, detecting and eliminating all causes early, including those potentially resulting from odontogenic infections, is important; accurate and early diagnosis enables appropriate treatment. This paper presents a review of the information available in the literature on brain abscesses and their relationship with odontogenic foci of infection in the oral cavity.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…[24] Several cases of brain abscesses have been reported in previously healthy, immunocompetent patients with poor oral hygiene or after dental treatment. [24]…”

Section: Discussionmentioning

confidence: 99%