未经证实:脑脓肿是一种潜在的致命疾病。穿透性损伤引起的眼眶骨折可能与颅内感染有关。这种与钝性创伤相关的并发症,眼眶顶板骨折,牙源性脓肿极为罕见。
UNASSIGNED:我们报告了一例40岁的变性女性,她的额叶脓肿在机动车撞车后几周出现,她的面部多处骨折和牙源性脓肿。在计算机断层扫描中,患者右侧面部多处骨折,包括眶壁内侧骨折和延伸至眶上顶的右蝶骨骨折。右侧额叶出血。与筛窦的交流可能为细菌通过眼眶扩散并进入颅内和硬膜下空间提供了管道。
未经证实:与鼻窦相通的颅底骨折,不管是正面的,筛骨,或蝶骨可能会增加脑脓肿的风险,尤其是发生牙源性脓肿的患者。缺损的手术修复是必不可少的,用抗生素预防性治疗患者可能是有益的。
UNASSIGNED: Brain abscess is a potentially fatal condition. Orbital fractures caused by penetrating injury may be associated with intracranial infection. Such complication associated with blunt trauma, orbital roof fractures, and odontogenic abscesses is exceedingly rare.
UNASSIGNED: We report the
case of a 40-year-old transgender female with a frontal abscess presenting several weeks following a motor vehicle crash from which she suffered multiple facial fractures and an odontogenic abscess. On computed tomography scan, the patient had multiple right-sided facial fractures, including a medial orbital wall fracture and a right sphenoid fracture extending into the superior orbital roof. There was hemorrhage notable in the right frontal lobe. Communication with the ethmoid sinuses likely provided a conduit for bacterial spread through the orbit and into the intracranial and subdural spaces.
UNASSIGNED: Skull base fractures that communicate with a sinus, whether it be frontal, ethmoid, or sphenoid may increase the risk of brain abscess, especially in patients who develop an odontogenic abscess. Surgical repair of the defect is essential, and treating patients prophylactically with antibiotics may be beneficial.