Department of Cranio-Maxillofacial and Oral Surgery and Implantology, Infant Jesus Clinical Hospital-University Clinical Center of the Medical University of Warsaw, Warsaw, Poland.
Department of Adult Infectious Diseases, Medical University of Warsaw, Warsaw, Poland.
Medicine (Baltimore). 2023 Nov 17;102(46):e35898. doi: 10.1097/MD.0000000000035898.
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.
尽管医学在预防、诊断和治疗方面取得了进步,但中枢神经系统的炎症仍是一个重大问题,对生命和健康构成严重威胁。化脓性中枢神经系统感染是一种独特的疾病,包括脑脓肿和脊髓脓肿,在全球范围内,每 1000 名患者中就有 0.4%至 0.9%会发生这种严重感染。中枢神经系统脓肿的病因各不相同。例如,由牙齿周围炎症引起的、有组织的、有包膜的脑脓肿是中枢神经系统炎症的一个独特类型,在 3%至 10%的病例中出现。有时,脑脓肿患者的病情严重且危及生命。因此,早期发现和消除所有病因很重要,包括那些可能由牙源性感染引起的病因;准确和早期的诊断可以实现恰当的治疗。本文综述了文献中关于脑脓肿及其与口腔牙源性感染灶之间关系的信息。