ArticleSurgical neurology international2025
Dental extraction-associated cerebral abscess caused by
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Dental extraction-associated cerebral abscesses are rare. To date, Case Description: A 66-year-old male presented with generalized seizures 12 days after molar extraction. He had been diagnosed with periodontitis 4 years earlier. Following the extraction, he was prophylactically administered clarithromycin for 1 week. At presentation, he exhibited left hemiparesis and dysarthria, with a body temperature of 38.0℃. Blood tests revealed mild elevations in white blood cell count and serum C-reactive protein levels. Echocardiography revealed no abnormalities. Cerebral magnetic resonance imaging demonstrated a cystic mass in the right frontal lobe, accompanied by rim-like enhancement and extensive perilesional edema, as well as hyperintensity on a diffusion-weighted sequence. The patient underwent burr-hole drainage, which yielded purulent discharge. Culture of the pus isolated Conclusion: Cerebral abscesses may develop following dental extraction, and careful observation is required afterward. Early onset of neurological symptoms after dental extraction should raise suspicion of a cerebral abscess requiring timely surgical intervention.
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