Brain abscess originating from odontogenic maxillofacial fascial space abscess : report of two cases

Shin, YeJu; PARK, Kwan-Soo

doi:2024.62.2.94

J Korean Dent Assoc > Volume 62(2); 2024 > Article

CASE REPORT

The Journal of The Korean Dental Association 2024;62(2):94-101.
DOI: https://doi.org/10.22974/jkda.2024.62.2.002 Published online February 29, 2024.

치성 악안면 근막간극 감염에서 기원한 뇌농양 발생의 두 증례

신예주

, 박관수

인제대학교 상계백병원 구강악안면외과

Brain abscess originating from odontogenic maxillofacial fascial space abscess : report of two cases

YeJu Shin

, Kwan-Soo PARK

Department of Dentistry, Oral and Maxillofacial Surgery, Inje University Sanggye-Paik Hospital

Correspondence: Kwan-Soo PARK, Tel: +82-2-950-1161, Fax: +82-2-950-1167,
Email: OMS_kspark@paik.ac.kr

Received: 12 October 2023 • Revised: 25 October 2023 • Accepted: 23 January 2024

Abstract

Brain abscesses caused by dental infections are rare but potentially fatal infections with a high mortality rate. Early diagnosis and treatment are crucial, but diagnosing them is not straightforward. Various mechanisms exist through which oral bacteria can spread to the central nervous system, with hematogenous dissemination being considered the most important pathophysiological mechanism. In this report, two cases of brain abscess originating from maxillofacial fascial space infec-tion will be presented. In the first case, the infection originating from the right side secondary to the left brain abscess, and in the second case, the infection originating from the left side led to a secondary infection in the left brain abscess. In both cases, the source of the infection was traced back to dental issues. The patients showed improvement through long-term high dose antibiotic therapy and surgical treatment by oral & maxillofacial surgeon and neurosurgeon.

Key Words: odontogenic infection; brain abscess; maxillofacial fascial space; headache