Intracranial epidural abscess of odontogenic origin

Kanu, Okezie Obasi; Ukponmwan, Efosa; Bankole, OB; Olatosi, John Olutola; Arigbabu, Sarajudeen Oladele

doi:10.3171/2010.12.peds10242

Cited by 20 publications

(24 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, we suggest that patients who meet this criterion should be worked up for potential intracranial problems, including the use of urinary/blood analysis and imaging studies. The prognosis for treated epidural abscesses are excellent, with most reports [1,4,20,21] indicating a normal recovery.…”

Section: Discussionmentioning

confidence: 99%

Intracranial Parasagittal Epidural Abscess: Another Consideration for the Etiology of Acute Headache and Fever Following a Minor Head Injury

Chen¹

2015

ijnbd

View full text Add to dashboard Cite

A previously healthy seven-year-old girl, who suffered a minor head injury, experienced diagnostic complications spanning two weeks, resulting from an intracranial epidural abscess. Originally diagnosed with cephalgia and a urinary tract infection, which were unresponsive to antibiotics, secondary workup revealed a large bifrontal epidural lesion. She was transferred to our neurosurgery services for further management and workup of the lesion. Magnetic resonance imaging demonstrated an enhancing anterior parasagittal fluid collection that was suggestive of an infection. Burr-hole surgery directly over the lesion confirmed the diagnosis of brain abscess. Irrigation and drainage was done, and her recovery was rapid and uncomplicated with the subsequent treatment with appropriate antibiotics. A possible etiology for this unusually located abscess is that the patient had a hemorrhage into this location from the initial injury. This subsequently became infected after a urinary tract infection or sinusitis. This case may be a useful reference for identifying patients with a brain abscess after a minor head injury, this occurring without direct invasion of the region of concern with a known foreign body, the usual mechanism after a traumatic brain injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Intracranial Parasagittal Epidural Abscess: Another Consideration for the Etiology of Acute Headache and Fever Following a Minor Head Injury

Chen¹

2015

ijnbd

View full text Add to dashboard Cite

show abstract

“…Based on the analysis of 1077 patients with odontogenic maxillofacial infections, it was reported that the spread of inflammation to the temporal bone was 3.2% and that osteomyelitis of the temporal bone may occur due to otitis media 12 . In addition, it has been reported that intracranial abscess 13 and epidural abscess of odontogenic infection 14 are extremely rare, and we consider that the risk of transmission of inflammation to the parietal and occipital bones is low; therefore, we chose the parietal bone for this study. Here, we showed that the parietal bone may be a critical site to assess the risk of BRONJ, and thus facilitate the evaluation of metabolism of normal bone based on the duration of BP administration.…”

Section: Discussionmentioning

confidence: 99%

Quantitative bone single photon emission computed tomography analysis of the effects of duration of bisphosphonate administration on the parietal bone

Hata¹,

Kitao

Sato

et al. 2020

Sci Rep

View full text Add to dashboard Cite

Effects of long-term bisphosphonate (BP) administration on the metabolism of healthy bone and the concomitant changes in imaging are unclear. Hence, we aimed to retrospectively investigate the effects of long-term BP administration on the intact parietal bone using the standardised uptake value (SUV) derived from single photon emission computed tomography (SPECT). We enrolled 29 patients who had odontogenic infection, osteoporosis, bone metastasis cancer, or rheumatoid arthritis, and classified them into BP-naïve: A (14 patients) and BP-treated: B, < 4 years (7 patients) and C, ≥ 4 years (8 patients) groups. We measured the maximum bilateral SUV (SUVmax) of the parietal bone using quantitative bone SPECT software. There were significant differences in the duration of BP administration and SUVmax of the parietal bone among the diseases (P < 0.0001 and P = 0.0086, respectively). There was a positive correlation between the duration of BP administration and SUVmax of the parietal bone (rs = 0.65, P = 0.0002). The SUVmax was significantly different between A and B (P = 0.02) and between A and C (P = 0.0024) groups. This is the first report on the correlation between long-term BP administration and the SUVmax of the parietal bone using the quantitative bone SPECT analysis.

show abstract

“…Recently, Fulkerson et al reported their results among children younger than three years of age, and their mean threshold value of stimulus intensity of 533 V. This was much more higher than our results. 15 The authors explained that this was caused by the relationship between the high threshold value and the immaturity of the motor pathways in children that age. When we calculated the mean threshold intensity of the stimuli of the patients in our study under the age of three, we found that the mean threshold value was as low as 218 V. The big difference between the two series of patients might be due to the different anesthesia protocol that was used.…”

Section: Discussionmentioning

confidence: 99%

Comparison of multimodal intraoperative neurophysiological monitoring efficacy in early childhood and school aged children undergoing spinal surgery

Şenköylü

Zinnuroğlu

Börcek

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

View full text Add to dashboard Cite

ObjectiveThe aim of this study was to compare the performance of multimodal intraoperative neurophysiological monitoring (MIONM) in children below and over 6 years of age.Methods43 children, diagnosed with spinal pathologies were divided into two cohorts according to their age and enrolled in the study. Those under the age of 6 consisted group A, whereas those between the age of 6 and 11 consisted group B. All patients underwent spinal surgical procedures according to their diagnosis. A standard anesthesia protocol was given to both groups. Baseline somatosensory evoked potentials (SSEPs) and transcranial electrical motor evoked potentials (tcMEPs) were recorded and evaluated at specific time points for each patient.ResultsExcept for the SSEPs in three cases, tcMEPs and SSEPs were recorded for all patients. There was no false-negative whereas 9 false positive recordings due to physiological conditions that all recovered intraoperatively. In 10 patients, MIOMN recorded more than %50 decrement, in which 8 had the kyphosis component. The tcMEPs fully recovered by the end of the operation except for the patient with post-tuberculosis kyphosis. There was no statistically significant difference in the mean threshold values with regard to transcranial stimulus intensity for the tcMEPs between the two groups.ConclusionCompared to school aged children, both SSEPs, tcMEPs recordings are feasible and MIONM is effective for early childhood patients undergoing spinal surgery.Level of evidenceLevel III, Diagnostic Study.

show abstract

Intracranial epidural abscess of odontogenic origin

Cited by 20 publications

References 49 publications

Intracranial Parasagittal Epidural Abscess: Another Consideration for the Etiology of Acute Headache and Fever Following a Minor Head Injury

Intracranial Parasagittal Epidural Abscess: Another Consideration for the Etiology of Acute Headache and Fever Following a Minor Head Injury

Quantitative bone single photon emission computed tomography analysis of the effects of duration of bisphosphonate administration on the parietal bone

Comparison of multimodal intraoperative neurophysiological monitoring efficacy in early childhood and school aged children undergoing spinal surgery

Contact Info

Product

Resources

About