Pott’s Puffy Tumour: A Clinical Variant

Clark, Jonathan R.; Lim, Jean-Li; Poole, Michael D.

doi:10.1046/j.1440-1622.1999.01686.x

Cited by 19 publications

(9 citation statements)

References 24 publications

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“…Since the introduction of antibiotics, only 21 pediatric cases of Pott’s puffy tumor have been reported [3, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17]. Of these, only 1 was secondary to trauma [10].…”

Section: Discussionmentioning

confidence: 99%

Intracranial Complications of Frontal Sinusitis in Children: Pott’s Puffy Tumor Revisited

Bambakidis

Cohen²

2001

Pediatr Neurosurg

151

113

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The objective of the present study is to describe the diagnosis and treatment of intracranial complications of frontal sinusitis (Pott’s puffy tumor) in a series of pediatric patients at our institution. A rare entity, Pott’s puffy tumor has been reported in only 21 pediatric cases in the literature of the antibiotic era. The hospital records and radiographic files at Rainbow Babies and Childrens Hospital, Cleveland, Ohio, USA, over the previous 16 years were retrospectively reviewed in a search for patients with the diagnosis of Pott’s puffy tumor, defined as scalp swelling and associated intracranial infection. There were 6 male patients and 1 female patient. Ages ranged from 11 to 18 years (median 14.5 years). Intracranial infections consisted of epidural abscess in 5 patients, subdural empyema in 4 and brain abscess in 1. Intraoperative cultures grew anaerobic organisms in 1 patient, microaerophilic streptococcus in 5 patients, Klebsiella species in 1 patient and Streptococcus pneumoniae in another. All patients presented with frontal scalp swelling, and other common symptoms included headache, fever, nasal drainage and frontal sinus tenderness. Five patients were treated with antibiotics prior to their presentation. Four patients presented with neurologic decompensation characterized by varying degrees of hemiparesis, obtundation, pupillary dilatation or aphasia. All patients underwent craniotomy and evacuation of the intracranial infection. Even severely impaired patients demonstrated full neurologic recovery. Despite the widespread use of antibiotics, neurosurgical complications of sinusitis continue to occur. A high degree of suspicion, along with prompt neurosurgical intervention and the use of appropriate antibiotics, can result in favorable outcomes in even the sickest patients.

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Section: Discussionmentioning

confidence: 99%

Intracranial Complications of Frontal Sinusitis in Children: Pott’s Puffy Tumor Revisited

Bambakidis

Cohen²

2001

Pediatr Neurosurg

151

113

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“…These thinwalled, valveless vessels facilitate the hematogenous spread of the sinus infection to the bone and the brain. 7,8 The usual route for infection spread is from the frontal sinus to the frontal bone. The infection may further erode through the bony cortex, leading to the subperiosteal collection of pus described by Pott, or erode inward causing meningitis, epidural or subdural empyema, frontal lobe abscess, or cavernous sinus thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Puffy Frontal Edema: A Serious Life-Threatening Finding of Pott’s Puffy Tumor: Case Report

Parlakay¹,

Kara²,

Cengiz³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…It is described as a localized subperiosteal abscess associated with progressive frontal bone osteomyelitis [1]. The condition was first described by Sir Percival Pott in 1760 as a 'puffy, circumscribed indolent tumour of the scalp' [2].…”

Section: Discussionmentioning

confidence: 99%

“…Contrast-enhanced computed tomographic scan of the head demonstrates frontal sinus opacification and subperiosteal abscess formation. Frontal sinusitis is recognized as the most common cause of Pott's puffy tumour but the other main causative factor is trauma [1,5]. Rarer aetiologies include intranasal cocaine abuse [7], dental sepsis [8], fibrous dysplasia, malignancy of the frontal sinus and a delayed complication of neurosurgery.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Cause of Headache: Pott??s Puffy Tumour

McDermott

O'Sullivan

McMahon

2007

European Journal of Emergency Medicine

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Osteomyelitis of the frontal bone (eponymously known as Pott's puffy tumour) is an extremely rare and potentially life-threatening complication of frontal sinusitis. The entity was first described by Sir Percival Pott, an 18th century neurosurgeon. It is today considered a historical vignette with the introduction of modern antimicrobial agents. Early diagnosis and immediate active treatment are necessary to prevent severe neurologic sequelae. We report on a case of Pott's puffy tumour in a previously healthy young man with a progressively worsening headache and swelling of the frontal bone. Computed tomography and magnetic resonance imaging revealed features characteristic of this condition. Following emergency sinus trephination and 6 weeks of parenteral and enteral antibiotic therapy, the patient achieved a complete recovery.

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Pott’s Puffy Tumour: A Clinical Variant

Cited by 19 publications

References 24 publications

Intracranial Complications of Frontal Sinusitis in Children: Pott’s Puffy Tumor Revisited

Intracranial Complications of Frontal Sinusitis in Children: Pott’s Puffy Tumor Revisited

Puffy Frontal Edema: A Serious Life-Threatening Finding of Pott’s Puffy Tumor: Case Report

An Unusual Cause of Headache: Pott??s Puffy Tumour

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