{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T16:13:09Z","timestamp":1763741589527,"version":"3.45.0"},"reference-count":4,"publisher":"American Animal Hospital Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.5326\/jaaha-ms-6094","type":"journal-article","created":{"date-parts":[[2015,2,19]],"date-time":"2015-02-19T15:28:38Z","timestamp":1424359718000},"page":"114-118","source":"Crossref","is-referenced-by-count":2,"title":["Iatrogenic Traumatic Brain Injury During Tooth Extraction"],"prefix":"10.5326","volume":"51","author":[{"given":"Mark","family":"Troxel","sequence":"first","affiliation":[{"name":"From the Massachusetts Veterinary Referral Hospital, Woburn, MA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3280","reference":[{"key":"i1547-3317-51-2-114-b01","series-title":"J Vet Dent","first-page":"8","article-title":"Orbital penetration associated with tooth extraction","volume":"20","author":"Smith\n              MM,","year":"2003","unstructured":"Smith\n              MM, \n            \n              Smith\n              EM, \n            \n              La Croix\n              N, \n            et al\n          . Orbital penetration associated with tooth extraction. J Vet Dent2003;20:8\u201317."},{"key":"i1547-3317-51-2-114-b02","series-title":"J Amer Anim Hosp Assoc","first-page":"215","article-title":"Ophthalmic manifestations and complications of dental disease in dogs and cats","volume":"32","author":"Ramsey\n              DT,","year":"1996","unstructured":"Ramsey\n              DT, \n            \n              Marretta\n              SM, \n            \n              Hamor\n              RE, \n            et al\n          . Ophthalmic manifestations and complications of dental disease in dogs and cats. J Amer Anim Hosp Assoc1996;32:215\u201324."},{"key":"i1547-3317-51-2-114-b03","series-title":"Veterinary dentistry: principles and practice","first-page":"236","article-title":"Oral surgery","author":"Wiggs\n              RB,","year":"1997","unstructured":"Wiggs\n              RB, \n            \n              Lobprise\n              HB. \n          \n          Oral surgery. In: WiggsRB, LobpriseHB, eds. Veterinary dentistry: principles and practice. Philadelphia (PA): Lippincott-Raven;1997:236\u201357."},{"key":"i1547-3317-51-2-114-b04","series-title":"Textbook of small animal surgery","first-page":"2696","article-title":"Exodontics","author":"Verstraete\n              FJM.","year":"2003","unstructured":"Verstraete\n              FJM. \n          \n          Exodontics. In: SlatterD, ed. Textbook of small animal surgery. Philadelphia (PA): Saunders; 2003:2696\u2013709."}],"container-title":["Journal of the American Animal Hospital Association"],"original-title":[],"link":[{"URL":"https:\/\/jaaha.kglmeridian.com\/view\/journals\/aaha\/51\/2\/article-p114.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jaaha\/article-pdf\/51\/2\/114\/1336045\/jaaha-ms-6094.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/jaaha.kglmeridian.com\/downloadpdf\/journals\/aaha\/51\/2\/article-p114.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/jaaha.kglmeridian.com\/downloadpdf\/journals\/aaha\/51\/2\/article-p114.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T15:58:56Z","timestamp":1763740736000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaaha.kglmeridian.com\/view\/journals\/aaha\/51\/2\/article-p114.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":4,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.5326\/jaaha-ms-6094","relation":{},"ISSN":["1547-3317","0587-2871"],"issn-type":[{"type":"electronic","value":"1547-3317"},{"type":"print","value":"0587-2871"}],"subject":[],"published":{"date-parts":[[2015]]}}}