If you have a tooth abscess, you could develop meningitis. This life-threatening condition occurs when the membranes near the spinal cord and the brain become inflamed. This bacterial infection could spread to the bloodstream and surround your brain and spinal cord. Meningitis could require extensive hospitalization.
The tooth infection spread to brain symptoms are more or less similar to the symptoms you see when the infection has spread to the body, but brain abscesses also have some other telltale clues: Confusion or irritability. Issues with nerve function, like muscle weakness or even paralysis. Seizures.
Abstract. The risk of a brain abscess is a complication of odontogenic infection that is rarely considered by physicians and little spoken of, yet treating dental infections may avoid a potentially life-threatening condition.
Their incidence in the US is cited as 1:100,000 annually. The prevalence of odon-togenic brain abscesses ranges between 3% and 10% of all cases. Brain abscesses occur more frequently in men than in women. Odontogenic brain abscesses in children are virtually unheard of.
Outlook (Prognosis)
If untreated, a brain abscess is almost always deadly. With treatment, the death rate is about 10% to 30%. The earlier treatment is received, the better. Some people may have long-term nervous system problems after a brain abscess or surgery.
In most modern series, the mortality rate is typically less than 15%. Rupture of a brain abscess is uncommon but is associated with a high mortality rate (up to 80%). Significant morbidity, including seizures, persistent weakness, aphasia, or cognitive impairment, affects an estimated at 20-30% of survivors.
Symptoms of a brain abscess
headache – which is often severe, located in a single section of the head and cannot be relieved with painkillers. changes in mental state – such as confusion or irritability. problems with nerve function – such as muscle weakness, slurred speech or paralysis on one side of the body.
A persistently high fever, dizziness, lightheadedness, a rapid heart rate, shortness of breath, confusion, and digestive problems are potential signs of sepsis and should be treated as a medical emergency.
Brain abscess passes through 4 stages: early cerebritis, late cerebritis, early capsule, and late capsule. During early cerebritis, nonenhanced CT scans may demonstrate normal findings or may show only poorly marginated subcortical hypodense areas.
In conclusion, the maximum period that an untreated tooth abscess can sustain is 12 months or more. But, such longevity is associated with dangerous complications such as sepsis or even death.
Most common symptoms
Because these can be symptoms of many illnesses, a brain abscess can be hard to detect at first. In two-thirds of cases, people have symptoms for as long as two weeks before they are diagnosed.
If you have a fever and swelling in your face and you can't reach your dentist, go to an emergency room. Also go to the emergency room if you have trouble breathing or swallowing. These symptoms may indicate that the infection has spread deeper into your jaw, throat or neck or even to other areas of your body.
What Are the Symptoms of a Brain Abscess? The most common symptoms are fever, headache, and nervous system problems. Such problems may be confusion, disorientation, speech or walking difficulties, change in mental status, or arm and leg weakness on one side.
Your healthcare provider can treat cerebral abscesses with medicines, including antibiotics or drugs to fight a fungal infection. Your healthcare provider may also give you steroid drugs to lower pressure in your brain, or other drugs to reduce seizures.
Tests for encephalitis can include: Neuroimaging, such as a brain MRI or CT scan. A lumbar puncture (spinal tap) to check for signs of infection in the brain or spinal cord. Electroencephalogram (EEG) to look for seizures or specific patterns of electrical activity in the brain.
Symptoms of Brain Swelling
Headaches. Neck pain/stiffness. Double vision/Vision changes. Dizziness.
A CT of the brain may be performed to assess the brain for tumors and other lesions, injuries, intracranial bleeding, structural anomalies (e.g., hydrocephalus , infections, brain function or other conditions), particularly when another type of examination (e.g., X-rays or a physical exam) are inconclusive.
Signs of bacteremia could be slight fever, nausea and distal infection. Rarely, bacteremia may resolve on its own. It also may progress into septicemia, a more serious blood infection that is always accompanied by symptoms such as chills, high fever, rapid heartbeat, severe nausea, vomiting and confusion.
Dental sepsis occurs when the pulp chamber of the tooth is exposed to the oral cavity or external environment, allowing bacterial localization with resulting infection.
Antimicrobial treatment for a brain abscess is generally long (6-8 wk) because of the prolonged time needed for brain tissue to repair and close abscess space.
The most frequent microbial pathogens isolated from brain abscesses are Staphylococcus and Streptococcus. Among this class of bacteria, Staphylococcus aureus and Viridian streptococci are the commonest.
People with a weakened immune system have a higher risk of developing a brain abscess from a blood-borne infection.