Odontogenic Cerebral Abscess: 4 Cases Collected at the National Center for Odonto-Stomatology Professor Hamady Traore in Bamako

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.