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Case Reports
. 2011 Mar;7(3):311-5.
doi: 10.3171/2010.12.PEDS10242.

Intracranial epidural abscess of odontogenic origin

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Case Reports

Intracranial epidural abscess of odontogenic origin

Okezie Obasi Kanu et al. J Neurosurg Pediatr. 2011 Mar.

Abstract

Dental infection as a cause of epidural abscess is rare compared with other forms of intracranial suppurations. A 10-year-old boy was seen because of headaches and fever. There was no history of otitis media or sinusitis, but he had sought care for dental complaints. The patient was from an upper-middle-class family, was not immunocompromised, and had no other risk factor for a major infection. A CT brain scan confirmed a frontal epidural abscess. The patient underwent emergency surgery for evacuation of the epidural abscess, followed by antimicrobial therapy. His condition improved remarkably following surgery, with complete resolution of symptoms. He subsequently underwent extraction of 2 teeth following dental review. Dental infection as a cause of intracranial epidural abscess is rare, but should be considered when evaluating patients for intracranial infections. A review of the literature sheds light on the causal relationship and possible pathogenesis of this condition.

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Comment in

  • Epidural abscess.
    Nathoo N, Narotam PK, Nadvi SS, van Dellen JR. Nathoo N, et al. J Neurosurg Pediatr. 2013 Mar;11(3):356-8. doi: 10.3171/2011.4.PEDS11122. Epub 2012 Dec 21. J Neurosurg Pediatr. 2013. PMID: 23259494 No abstract available.

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