下顎の歯性感染症から継発した多発性頭蓋内膿瘍の1例 A case of multiple intracranial abscesses secondary to mandibular odontogenic infection

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著者

    • 平井 秀明 HIRAI Hideaki
    • 山梨県立中央病院口腔外科 Department of Oral and Maxillofacial Surgery, Yamanashi Prefectural Central Hospital
    • 三澤 常美 MISAWA Tsunemi
    • 山梨県立中央病院口腔外科 Department of Oral and Maxillofacial Surgery, Yamanashi Prefectural Central Hospital
    • 小村 健 [他] OMURA Ken
    • 東京医科歯科大学大学院医歯学総合研究科顎口腔外科学分野 Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 河西 八郎 KASAI Hachirou
    • 山梨県立中央病院口腔外科 Department of Oral and Maxillofacial Surgery, Yamanashi Prefectural Central Hospital

抄録

We report a rare case of multiple intracranial abscesses secondary to mandibular odontogenic infection. A 62-year-old man was admitted to our hospital because of general malaise, which developed after swelling of the right cheek, masticatory pain, and trismus. We detected no abnormality in the oral cavity, but hematologic examinations showed elevated levels of white blood cells and C-reactive protein. The patient was hospitalized for further evaluation. A computed tomographic scan revealed multiple intracranial shadows. After consultation with the Department of Neurosurgery, multiple intracranial abscesses secondary to mandibular odontogenic infection were diagnosed. The patient was transferred to the Department of Neurosurgery, and conservative therapy was administered. However, the symptoms worsened. Therefore, drainage by craniotomy was performed to remove the abscess. After surgery, we extracted the right lower second molar as the infection source because a magnetic resonance imaging scan showed no evidence of multiple intracranial abscesses. Subsequently, he recovered well without any sequelae.

We report a rare case of multiple intracranial abscesses secondary to mandibular odontogenic infection. A 62-year-old man was admitted to our hospital because of general malaise, which developed after swelling of the right cheek, masticatory pain, and trismus. We detected no abnormality in the oral cavity, but hematologic examinations showed elevated levels of white blood cells and C-reactive protein. The patient was hospitalized for further evaluation. A computed tomographic scan revealed multiple intracranial shadows. After consultation with the Department of Neurosurgery, multiple intracranial abscesses secondary to mandibular odontogenic infection were diagnosed. The patient was transferred to the Department of Neurosurgery, and conservative therapy was administered. However, the symptoms worsened. Therefore, drainage by craniotomy was performed to remove the abscess. After surgery, we extracted the right lower second molar as the infection source because a magnetic resonance imaging scan showed no evidence of multiple intracranial abscesses. Subsequently, he recovered well without any sequelae.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 57(3), 114-118, 2011-03-20

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10030271614
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    11052040
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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