抄録
We report a rare case of subdural abscess secondary to odontogenic infection. A 62-year-old womanwas referred to our hospital because of severe trismus with a painful swelling in the left temporal region, whichoccurred after extraction of the left maxillary molars owing to severe periodontitis. A CT scan revealed an abscessextending from the pterygopalatine fossa to the deep temporal space. Immediately after hospitalization, theabscess was surgically treated by drainage via an intraoral incision and a temporal skin incision. In addition, antibioticswere administered intravenously. The postoperative course was uneventful, and clinical symptoms improvedrapidly. However, sudden aphasia occurred on the 18th postoperative day. Brain CT scanning revealed multiplesubdural abscesses extending from the left temporal lobe to the parietal lobe. Although conservative anti-inflammatorytreatments were given, hemiparesis developed. Thus, craniotomy was performed to remove the abscess. The postoperative recovery was excellent, with no sequela.
