TITLE:
Odontogenic Cerebral Abscess: 4 Cases Collected at the National Center for Odonto-Stomatology Professor Hamady Traore in Bamako
AUTHORS:
Amady Coulibaly, Saliou Adam, Boureima Daouda Sangare, Sibiri Traore, Daouda Sissoko, Hassane Fongoro, Mbouille Konare, Ousmane Nientao, Yaya Sissoko, Kadia Keita, Rokiatou Kone, Abdoulaye Kassambara, Alphousseiny Touré, Oumar Coulibaly, Boubacar Ba, Drissa Traore, Oumar Diallo
KEYWORDS:
Brain Abscess, Odontogenic, Cellulitis, Bamako
JOURNAL NAME:
Open Journal of Stomatology,
Vol.15 No.6,
June
24,
2025
ABSTRACT: Introduction: Odogenic brain abscesses are rare but potentially fatal complications and can lead to serious sequelae. The objective of this study was to describe the management of odontogenic brain abscesses through a case series. Observations: Case 1: This was a 27-year-old female patient admitted with odontogenic facial cellulitis associated with total right pyramidal syndrome. A craniofacial computed tomography (CT) scan demonstrated a cerebellar abscess and right internal jugular vein thrombosis. Healing with sequelae was achieved after multidisciplinary medical and surgical management. Case 2: This was a 23-year-old female patient admitted with a diagnosis of cervicofacial cellulitis of dental origin associated with right pyramidal syndrome and motor aphasia. A craniofacial CT scan revealed a temporal bone abscess. Multidisciplinary medical and surgical treatment resulted in a cure without sequelae. Case 3: This was a 9-year-old patient admitted with a diagnosis of right-sided cellulitis with exophthalmos and meningeal syndrome. A craniofacial CT scan revealed a right temporal bone collection. A cure without sequelae was achieved after multidisciplinary medical and surgical management. Case 4: This 8-year-old child was admitted with a presentation of facial cellulitis of dental origin associated with functional impairment of the right side of the body, headaches, and seizures. A craniofacial CT scan revealed an encapsulated left temporal abscess. Multidisciplinary medical and surgical treatment resulted in a cure with no neurological sequelae. Conclusion: Despite the low incidence of odontogenic brain abscesses, a dental entry point should always be considered in the etiological diagnosis of a brain abscess.