A hematogenous spread brain abscess invading the right damaged temporomandibular joint
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A hematogenous spread brain abscess invading the right damaged temporomandibular joint. / Klatt, Jan; Heiland, Max; Gröbe, Alexander; Westphal, Manfred; Schmelzle, Rainer; Pohlenz, Philipp.
in: J CRANIO MAXILL SURG, Jahrgang 40, Nr. 8, 8, 01.12.2012, S. e307-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - A hematogenous spread brain abscess invading the right damaged temporomandibular joint
AU - Klatt, Jan
AU - Heiland, Max
AU - Gröbe, Alexander
AU - Westphal, Manfred
AU - Schmelzle, Rainer
AU - Pohlenz, Philipp
N1 - Copyright © 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
PY - 2012/12/1
Y1 - 2012/12/1
N2 - We report a rare case of a brain abscess which drained spontaneously in a temporomandibular joint damaged by osteoarthritis. The female patient presented to our hospital with a severe headache and pain in the temporomandibular joint. She showed elevated inflammatory parameters with unknown cause. Magnetic resonance imaging of her whole body revealed a large temporal brain abscess extending into the glenoid fossa of the temporomandibular joint. The brain abscess was incised and drained by neurosurgeons in our hospital and in the same operation we resected the articular disc and the affected part of the right temporomandibular joint. Histological examination confirmed a chronic arthrosis in the resected bone of the temporomandibular joint and an inflammatory abscess in the resected brain tissue. The patient recovered well and the inflammation resolved as seen in postoperative investigations. Magnetic resonance imaging a month later confirmed local consolidation in the brain with no sign of residual inflammation.
AB - We report a rare case of a brain abscess which drained spontaneously in a temporomandibular joint damaged by osteoarthritis. The female patient presented to our hospital with a severe headache and pain in the temporomandibular joint. She showed elevated inflammatory parameters with unknown cause. Magnetic resonance imaging of her whole body revealed a large temporal brain abscess extending into the glenoid fossa of the temporomandibular joint. The brain abscess was incised and drained by neurosurgeons in our hospital and in the same operation we resected the articular disc and the affected part of the right temporomandibular joint. Histological examination confirmed a chronic arthrosis in the resected bone of the temporomandibular joint and an inflammatory abscess in the resected brain tissue. The patient recovered well and the inflammation resolved as seen in postoperative investigations. Magnetic resonance imaging a month later confirmed local consolidation in the brain with no sign of residual inflammation.
KW - Humans
KW - Female
KW - Middle Aged
KW - Follow-Up Studies
KW - Drainage
KW - Headache/etiology
KW - Neurosurgical Procedures/methods
KW - Brain Abscess/complications/surgery
KW - Cartilage, Articular/surgery
KW - Facial Pain/etiology
KW - Microsurgery/methods
KW - Osteoarthritis/etiology/surgery
KW - Osteolysis/etiology
KW - Temporal Bone/surgery
KW - Temporomandibular Joint Disc/surgery
KW - Temporomandibular Joint Disorders/etiology/surgery
KW - Humans
KW - Female
KW - Middle Aged
KW - Follow-Up Studies
KW - Drainage
KW - Headache/etiology
KW - Neurosurgical Procedures/methods
KW - Brain Abscess/complications/surgery
KW - Cartilage, Articular/surgery
KW - Facial Pain/etiology
KW - Microsurgery/methods
KW - Osteoarthritis/etiology/surgery
KW - Osteolysis/etiology
KW - Temporal Bone/surgery
KW - Temporomandibular Joint Disc/surgery
KW - Temporomandibular Joint Disorders/etiology/surgery
U2 - 10.1016/j.jcms.2012.01.012
DO - 10.1016/j.jcms.2012.01.012
M3 - SCORING: Journal article
C2 - 22440320
VL - 40
SP - e307-9
JO - J CRANIO MAXILL SURG
JF - J CRANIO MAXILL SURG
SN - 1010-5182
IS - 8
M1 - 8
ER -
