首页> 外文期刊>Journal of the American Animal Hospital Association >Iatrogenic Traumatic Brain Injury During Tooth Extraction
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Iatrogenic Traumatic Brain Injury During Tooth Extraction

机译:医源性创伤性脑损伤牙齿提取

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An 8 yr old spayed female Yorkshire terrier was referred for evaluation of progressive neurological signs after a routine dental prophylaxis with tooth extractions. The patient was circling to the left and blind in the right eye with right hemiparesis. Neurolocalization was to the left forebrain. MRI revealed a linear tract extending from the caudal oropharynx, through the left retrobulbar space and frontal lobe, into the left parietal lobe. A small skull fracture was identified in the frontal bone through which the linear tract passed. Those findings were consistent with iatrogenic trauma from slippage of a dental elevator during extraction of tooth 210. The dog was treated empirically with clindamycin. The patient regained most of its normal neurological function within the first 4 mo after the initial injury. Although still not normal, the dog has a good quality of life. Traumatic brain injury is a rarely reported complication of extraction. Care must be taken while performing dental cleaning and tooth extraction, especially of the maxillary premolar and molar teeth to avoid iatrogenic damage to surrounding structures.
机译:一个8岁女性卵巢切除约克郡犬被称为进步的评价常规牙科后神经迹象预防与拔牙。绕到左边和盲目的对吧眼睛与进行性加重。左前脑。从尾口咽径延长,通过左侧眼球后的空间和额叶,成左顶叶。额骨骨折被确认通过线性系统。结果与医源性创伤从牙科电梯在滑动210年提取牙齿。经验与克林霉素。恢复了大部分正常神经功能后第一个4莫内初始损伤。虽然仍然不正常,狗有很好的的生活质量。很少报道的并发症提取。必须在执行清洁牙齿和拔牙,特别是上颌前磨牙和磨牙,避免医源性损害周围的结构。

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