Brain abscess is considered as a rare but serious and life-threatening infection. Dental infections have occasionally been reported as the source of bacteria which can give rise to a brain abscess. A 54-year-old man was admitted to our hospital due to a right hemiparesis and epileptic fits. After the clinical, laboratory and imaging examination a diagnosis of a brain abscess of the left parietal lobe was made. The intraoral clinical examination as well as a panoramic radiograph confirmed the presence of generalized periodontal disease and multiple dental caries. The treatment modalities employed for the patient's management included: i) Immediate administration of high dose intravenous antibiotic regimen, and ii) surgical procedures consisting of craniotomy and resection of the abscess cavity first, and secondly removal of the periodontal and decayed teeth of the patient, performance of alveoloplasty, and construction of immediate upper and lower complete dentures, in an effort to eradicate all the possible septic foci, attributing the brain abscess to an odontogenic infection. The patient made an uneventful recovery, and nine months postoperatively he had completely recovered from the hemiparesis.
展开▼
