Pott’s Puffy Tumor with Intracranial Extension in a Minimally Symptomatic Adolescent (original) (raw)
Related papers
Journal of Neurosurgery
The Pott puffy tumor is a subperiosteal abscess of the frontal bone that appears as a localized swelling of the overlying region of the forehead associated with frontal osteomyelitis. The authors report the case of an 11-year-old boy who presented with a 6-week history of frontal headaches and a recent sudden-onset, progressively enlarging swelling of his midline forehead associated with immediate relief of headaches. A computed tomography (CT) study revealed 1) a subperiosteal abscess with intracranial extension through the perforated posterior table of the frontal sinus and 2) a large epidural abscess overlying a compressed and narrowed superior sagittal sinus. Emergency surgical relief of the epidural abscess, curettage of the osteomyelitic bone, and excision of the periosteal granulomatous puffy lump were performed. A 6-week course of intravenous antibiotic medication was completed, and the patient had an excellent recovery. The Pott puffy tumor remains a serious complication of...
Pott’s puffy tumour in a pre-adolescent child: the youngest reported in the post-antibiotic era
International Journal of Pediatric Otorhinolaryngology, 2004
Pott's puffy tumour is a subperisosteal abscess associated with a cranial osteomyelitis. A rare consequence of trauma or frontal sinusitis, it is often an indicator of intracranial complications. At 3 years of age, the patient described is the youngest reported with this condition. The occurrence of such pathology in pre-adolescent children is very rare and this case is one of three reported in the English literature in the post-antibiotic era.
Neurosurgical implications of Pott’s puffy tumor in children and adolescents
Child's Nervous System, 2014
Introduction Pott's puffy tumor (PPT) is rare and usually seen as a complication of frontal sinusitis resulting in subperiosteal abscess of the frontal bone with underlying osteomyelitis. PPT is potentially severe and can lead to life-threatening intracranial complications. Patients and methods The authors present a series of six pediatric patients diagnosed with PPT and intracranial complications between 1999 and 2012. There were five boys and one girl, and the mean age at diagnosis was 11.8 years. All patients presented with frontal swelling, headache, and fever. Two patients had lowered level of consciousness and severe hemodynamic instability. Results All patients had epidural abscess, and one also presented subdural empyema. Five patients underwent drainage of all associated abscesses, bone resection, and sinusitis treatment. One was treated conservatively with broad-spectrum antibiotics, and no surgical intervention was required. All patients fully recovered their neurologic status, without further complications.
A 9-year-old boy with a nonmalignant forehead tumor – a rare case of pediatric Pott’s puffy tumor
BMC Pediatrics
Background Pott’s puffy tumor (PPT) is a rare and potentially deadly complication of frontal sinusitis consisting of subperiosteal abscess and osteomyelitis of the frontal bone. Case presentation We report the case of a 9-year-old boy who presented with fever and soft tissue swelling of the forehead. Magnetic resonance imaging (MRI) depicted an abscess in the subcutaneous tissue frontally and an epidural empyema, while a cranial computed tomography (CT) scan revealed bone erosion as a sign of osteomyelitis. The patient was treated accordingly. Conclusions This rare condition is essential to keep in mind as it needs a multidisciplinary approach and relevant imaging to start proper treatment and thus decrease the risk of intracranial complications.
Pott's Puffy Tumor: It's not a Tumor but it Can be Lethal (2 Cases Report)
Scholars journal of medical case reports, 2022
The Pott's puffy tumor has become an infrequent entity since the advent of antibiotic therapy. It is defined as a subperiosteal abscess arising from frontal bone osteomyelitis. We report two cases of PPT due to intreated frontal sinusitis and confirmed by computed tomography scan. Early surgery associated with long-term intravenous antibiotics is required to obtain a good recovery and prevent life-threatening intracranial complications.
Pott’s Puffy Tumor: An Uncommon Clinical Entity
Case Reports in Pediatrics, 2012
Although first described in 1760, Pott’s puffy tumor is a lesser known clinical entity. Often seen as a complication of frontal sinusitis, Pott’s is a frontal bone osteomyelitis with an associated subperiosteal abscess. Patients present with a fluctuant swelling of the scalp. The diagnosis is often confirmed with computed tomography (CT). Prompt surgical and medical treatments are the rule as there is the potential for significant morbidity if not quickly diagnosed and treated. Herein, we describe the presentation, diagnosis, and treatment of an 8-year-old female presenting with Pott’s puffy tumor.
Pott ’ s Puffy Tumor-A Case Report and Brief Review of Literature
2019
Pott’s puffy tumour is a subperiosteal abscess with associated osteomyelitis arising from the frontal sinus. Aetiology for the same has been reported as post traumatic, sequelae to acute and chronic frontal sinusitis and even insect bites. However, in the post antibiotic era, the incidence of this condition has declined significantly. This condition has a high risk of intracranial complications such as abscess formation and meningitis if not recognised early and appropriately treated. Even though it is more common in the paediatric age group, there are few cases reported in the adult population as well [1]. In this article we report a case of Pott’s puffy tumour in a 30year old man and review the relevant literature regarding the best management principles.
Pott’s Puffy Tumor - Overview of case series
Jornal Memorial da Medicina, 2021
Pott’s puffy tumor (PPT) is rare and usually seen as a complication of frontal sinusitis that has been neglected or partially treated, resulting in subperiosteal abscess of the frontal bone with underlying osteomyelitis, which can lead to life-threatening intracranial complications, such as epidural/subdural empyema, cerebral abscess and meningitis. Given this, the purpose of the present study was to gather the most diverse cases reported together to highlight the main treatment methods. Methods: It is a narrative review, starting from the search in the database PubMed, Lilacs and Scielo from 2010 to 2020, which resulted in 34 scientific articles. The search focused on obtaining data on new approaches and treatments established for Pott’s puffy tumor. Results: 34 articles were included which described 58 patients with a swollen Pott tumor, occurring predominantly in male adolescents, with streptococci (26,1%) as the main etiologic agent. Approximately 84% of all patients were male s...
Pott’s puffy tumor: a need for interdisciplinary diagnosis and treatment
HNO, 2022
Pott’s puffy tumor (PPT) is an infection of the frontal sinus with subperiosteal and intracranial abscess formation and one of the rare entities in pediatrics. We present a series of four cases of PPT that occurred in two children (6 and 9 years) and in two young adults (17 and 19 years). All patients were treated by an interdisciplinary team of pediatric, neurosurgical, ENT, radiological, and neuroradiological specialists. Antibiotic treatment was combined with single endoscopic surgery in one case and combined endoscopic sinus surgery with an open transcranial approach to drain intracranial abscess formation in three cases. It is important to be aware that PPT occurs in children with the finding of intracranial abscess formation. Therefore, a close interdisciplinary cooperation for successful treatment is needed in this rare disease.
Extensive Frontoparietal Abscess: Complication of Frontal Sinusitis (Pott’s Puffy Tumor)
Case Reports in Otolaryngology, 2014
First described in 1768, the Pott's puffy tumor is a subperiosteal abscess associated with frontal bone osteomyelitis, resulting from trauma or frontal sinusitis. The classic clinical presentation consists of purulent rhinorrhea, fever, headache, and frontal swelling. The diagnosis is confirmed by CT scan and treatment requires intravenous antibiotics, analgesia, and surgical intervention. Early diagnosis and aggressive medical and surgical approach are essential for a good outcome. It rare and the early diagnosis is important; we describe the case of a 14-year-old adolescent with Pott's puffy tumor who was initially treated inadequately, evolving with extensive frontoparietal abscess. The patient underwent surgical treatment with endoscopic endonasal and external approaches combined. Intravenous antibiotics were prescribed for a prolonged time, with good outcome and remission of the complaints.