Park Sung Yong, Suh Dong Won, Park Chul Min, Oh Min Seok, Lee Dong-Kun
Department of Oral and Maxillofacial Surgery, Sun Dental Hospital, Daejeon, Korea.
J Korean Assoc Oral Maxillofac Surg. 2014 Jun;40(3):147-51. doi: 10.5125/jkaoms.2014.40.3.147. Epub 2014 Jun 27.
In this report, we describe a case of brain abscess due to odontogenic infection. A 53-year-old female who had been suffering from headache and trismus for two weeks visited the Department of Oral and Maxillofacial Surgery at the Sun Dental Hospital (Daejeon, Korea). Even after several routine tests, we still could not make a diagnosis. However, after the combined multidisciplinary efforts of oral surgeons and neurosurgeons, the patient was treated for odontogenic infection and made an uneventful recovery. Therefore, patients with infections in the head and neck region showing symptoms such as headache, changes in mental state, nausea, vomiting, seizures, hemiplegia, speech disturbance, and visual disturbance, a brain abscess should be included in the list of differential diagnoses.
在本报告中，我们描述了一例由牙源性感染引起的脑脓肿病例。一名53岁女性，因头痛和牙关紧闭两周，前往韩国大田太阳牙科医院口腔颌面外科就诊。即使经过多项常规检查，我们仍无法做出诊断。然而，经过口腔外科医生和神经外科医生的多学科联合努力，患者接受了牙源性感染治疗，恢复顺利。因此，对于头颈部感染且出现头痛、精神状态改变、恶心、呕吐、癫痫发作、偏瘫、言语障碍和视觉障碍等症状的患者，脑脓肿应列入鉴别诊断清单。
