두개내 합병증을 유발한 저작극 농양

INTRACRANIAL COMPLICATION FOLLOWING RIGHT MASTICATORY SPACE ABSCESS

저자등은 경희대학교 치과대학 부속병원 구강악안면외과에 상악 우측 제1대구치를 원인치로 하는 우측 저작극의 감염으로 인하여 개구장애와 두통을 호소하여 입원치료중 입원 16일째 동측의 중뇌동맥경색의 진단하에 사망한 증례를 경험하여 치성감염의 두 개내 합병증에 관한 문헌고찰과 함께 보고하는 바이다.

Although the use of the antibiotics has minimized the dangers of the spread of odontogenic infection to adjacent important organs, sometimes the fatal cases, such as Ludwig's angina, mediastinitis, intracranial complications from the odotogenic infection, may be occurred. The odontogenic infections or oral and maxillofacial region may involve the intracranial area through systemic circulation or by direct spread into the intracranial cavity. Headache, malaise, loss of appetite, chills, fever, vomiting, apathy, and irritability are usually followed by more specific involvement of the nervous system. We experienced one patient who died of intracranial complication from odontogenic infection. So we report the case and the literatures about intracranial involvements following odontogenic infections and dental procedures.