The Management of odontogenic focal infections of cerebral abscess patient under local anesthesia

https://doi.org/10.22146/mkgk.54465

Cita Dharmastuti(1*), Bambang Dwiraharjo(2), Elisabeth Riyati Titi Astuti(3)

(1) Program Studi Bedah Mulut dan Maksilofasial Program Pendidikan Dokter Gigi Spesialis, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta
(2) Departemen Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta
(3) Departemen Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Cerebral abscess is a localized suppurated infection in between of a brain tissue caused by a wide variety of bacteria, fungi, and protozoa. The etiology of cerebral abscess includes chronic suppurated disease, congenital cardiomyopathy, or a trauma from a neurosurgical procedure. Sinusitis, otitis, and untreated odontogenic infections promote the formation of a brain abscess. The purpose of this case report was to present the management of an odontogenic focal infection in a case of cerebral abscess. Thirty six years old male referred to the Policlinic of Oral Surgery of Dr. Sarjito Central General Hospital, Yogyakarta by the Neurology Department to investigate the focal infection in the oral cavity of the patient with a cerebral abscess. The patient was treated on the Neurology Department for six month with initial complaint of headache, seizures, nausea, vomiting, and unable to move his right extremity. After a drug therapy, complaints were gradually receded. Based on the anamneses and clinical examination, an abnormality on the other organ was not suspected, but two impacted teeth and several radices were found in the oral cavity. Focal infection elimination was performed twice under a local anesthesia. Four weeks after the treatment, the neurological complaint of patient was decreased. The management of odontogenic cerebral abscess required a collaboration of the neurologist, radiologist, neurosurgeon, and oral surgeon. The treatment was aimed to eliminate the focal infection and reduce the effects caused by the mass of necrotic tissue, suppurated inflammatory response and edema on the surrounding cerebral tissue

Keywords


cerebral abscess; odontogenic infection; neurology

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References

1. Hakim AA. Abses otak. Majalah Kedokteran Nusantara. 2005; 38(4): 324-327.

2. Brouwer MC, Tunkel AR, McKhan GM, Van de Beek D. Brain abscess. The New England Journal of Medicine. 2014; 371: 447-456.

3. Lars A, Karl-Erik K, Anthony M. Oral and Maxillofacial Surgery. Oxford: Blackwell Publishing Ltd; 2010.

4. Mathisen GE and Johnson JP. State of the art clinical article: brain abscess. Clinical Infectious Diseases. 1997; 25: 763-777.

5. Frazier JL, Ahn ES, Jallo GI. Management of brain abscesses in children. Neurosurgery Focus. 2008; 24(6): E8: 1-10.

6. Suarez JI. Critical care neurology and neurosurgery. New Jersey: Humana Press Inc; 2004.

7. Antunes AA, de Santana Santos T, de Carvalho RWF, Avelar RL, Pereira CU. Brain abscess of odontogenic origin. The Journal of Craniofacial Surgery. 2011; 22(6): 2363-2365.

8. Li X, Tronstad L, Olsen I. Brain abscesses caused by oral infection. Endodontic & Dental Traumatology. 1999; 15: 95-101.

9. Hakan T. Management of bacterial brain abscesses. Neurosurgery Focus. 2008; 24(6): E4: 1-7.

10. Park SY, Suh DW, Park CM, Oh MS, Kun Le D. Brain abscess due to odontogenic infection: a case report. Journal Korean Association of Oral Maxillofacial Surgeons. 2014; 40: 147-151.

11. Dorland. Kamus Kedokteran Dorland. Jakarta: EGC. 1996.

12. Balaji. Textbook of oral and maxillofacial surgery. New Delhi: Elsevier. A Division of Reed Elsevier India Private Limited. 2013



DOI: https://doi.org/10.22146/mkgk.54465

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