A case of multiple intracranial abscesses secondary to mandibular odontogenic infection

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  • HIRAI Hideaki
    Department of Oral and Maxillofacial Surgery, Yamanashi Prefectural Central Hospita Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • MISAWA Tsunemi
    Department of Oral and Maxillofacial Surgery, Yamanashi Prefectural Central Hospita
  • OMURA Ken
    Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • KASAI Hachirou
    Department of Oral and Maxillofacial Surgery, Yamanashi Prefectural Central Hospita

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  • 下顎の歯性感染症から継発した多発性頭蓋内膿瘍の1例
  • カガク ノ シセイ カンセンショウ カラ ケイハツ シタ タハツセイ トウガイ ナイ ノウヨウ ノ 1レイ

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Abstract

We report a rare case of multiple intracranial abscesses secondary to mandibular odontogenic infection. A 62-year-old man was admitted to our hospital because of general malaise, which developed after swelling of the right cheek, masticatory pain, and trismus. We detected no abnormality in the oral cavity, but hematologic examinations showed elevated levels of white blood cells and C-reactive protein. The patient was hospitalized for further evaluation. A computed tomographic scan revealed multiple intracranial shadows. After consultation with the Department of Neurosurgery, multiple intracranial abscesses secondary to mandibular odontogenic infection were diagnosed. The patient was transferred to the Department of Neurosurgery, and conservative therapy was administered. However, the symptoms worsened. Therefore, drainage by craniotomy was performed to remove the abscess. After surgery, we extracted the right lower second molar as the infection source because a magnetic resonance imaging scan showed no evidence of multiple intracranial abscesses. Subsequently, he recovered well without any sequelae.

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