Brain abscesses caused by oral infection
Open Access
- 18 June 1999
- journal article
- review article
- Published by Wiley in Dental Traumatology
- Vol. 15 (3), 95-101
- https://doi.org/10.1111/j.1600-9657.1999.tb00763.x
Abstract
— Brain abscesses are rare but can be life‐threatening infections. Recent progress in microbiological classification and identification has indicated that they are sometimes caused by oral infection and dental treatment. It has been postulated that oral microorganisms may enter the cranium by several pathways: 1) by direct extension, 2) by hematogenous spread, 3) by local lymphatics, and 4) indirectly, by extraoral odontogenic infection. In the direct extension, oral infections spread along the fascial planes. Hematogenous spreading occurs along the facial, angular, ophthalmic, or other veins which lack valves, through the cavernous sinus and into the cranium. Another hematogenous pathway is through the general circulation. Oral bacteria may cause systemic infections, e.g., endocarditis, and then indirectly initiate brain abscess. Microbiota, complications, and the prevention and management of odontogenic brain abscesses are also discussed in this review.Keywords
This publication has 59 references indexed in Scilit:
- Cellulitis of the eyelids associated with sinusitis and brain abscessJournal of the European Academy of Dermatology and Venereology, 1998
- Infective endocarditis caused by Campylobacter fetus after allogeneic tooth transplantation: a case reportBritish Journal of Oral and Maxillofacial Surgery, 1996
- Cerebral abscess complicating dental treatment. Case report and review of the literatureAustralian Dental Journal, 1996
- Brain Stem Abscesses: Cure with Medical Therapy, Case Report, and ReviewClinical Infectious Diseases, 1994
- Review of 140 patients with brain abscessSurgical Neurology, 1993
- Bacteremia Following Subgingival Irrigation and Scaling and Root PlaningThe Journal of Periodontology, 1991
- Management of focal intracranial infections: is medical treatment better than surgery?Journal of Neurology, Neurosurgery & Psychiatry, 1990
- Multiple brain abscesses secondary to dental caries and severe periodontal diseaseBritish Journal of Oral and Maxillofacial Surgery, 1988
- Bacteremia in patients undergoing oral procedures. Study following parenteral antimicrobial prophylaxis as recommended by the American Heart Association, 1977Archives of Internal Medicine, 1988
- Penetration of brain abscess by systemically administered antibioticsJournal of Neurosurgery, 1973