DEVELOPMENT OF ODONTOGENOUS ABSCESS OF THE BRAIN IN A ZONE OF ARTERIOVENOUS MALFORMATION THROMBOSED PARTIALLY WITH HISTOACRYL AND LOCATED IN THE LEFT TEMPOROPARIETAL AREA (A CASE FROM PARCTICE)
V.A. Lazarev, A.I. Larin, A.V. Bocharov, V.M. Ezhkov, S.B. Yakovlev, L.V. Shishkina
Burdenko Insitute of Neurosurgery of the Russiam Academy of Medical Sciences, Municipal Clinical Hospital N 83 of the Russian Ministry of Public Health
The authors describe a patient with arteriovenous malformation of the left temporoparietal area who underwent endovascular operation with its thrombosing by histoacryl.
The patient developed abscess in a zone of thrombosed malformation against the background of a favourable postoperative period (in 4 months). It was caused by periodontitis with periostitis and lymphadenitis on the left side. Bacteriologic examination of abscess content was indicative of Staphylococcus aureus. Conservative treatment and subsequent abscess drainage gave a short-term effect during 4 months. Thus, a direct surgical intervetion with simultaneous removal of abscess and thrombosed malformation was made.
Clinical data, results of CT, MRI and cerebral angiography, macro- and micromorphological specimens are presented. Etiology and pathogenesis of abscess development are discussed.