Child's Nervous System

, Volume 17, Issue 6, pp 359–362

Pott's puffy tumour: still not an eradicated entity

  •  A. Guillén
  •  M. Brell
  •  E. Cardona
  •  E. Claramunt
  •  J. Costa
Case Report

DOI: 10.1007/s003810000420

Cite this article as:
Guillén, A., Brell, M., Cardona, E. et al. Child's Nerv Syst (2001) 17: 359. doi:10.1007/s003810000420
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Abstract.

Pott's puffy tumour is an infrequent entity characterised by one or more subperiosteal abscesses associated with frontal bone osteomyelitis. Although cases in patients of all ages have been reported, teenagers are the most frequently affected. Early diagnosis and aggressive treatment are essential because of the high risk of severe neurological complications, such as epidural abscess, subdural empyema, and secondary septic thrombosis of the dural sinuses. This paper describes the case of a patient with a subperiosteal abscess resulting from sinusitis, with orbital and intracranial extension, and subsequent neurological complications. Despite modern methods of diagnosis and treatment, 13 new cases have been published in the last 5 years; in at least 3 (23%) of these cases there were serious neurological complications. Upper respiratory infections and sinusitis are leading causes of visits to the emergency department in the paediatric age group; however, no risk factors for poor outcome have so far been identified in any of these patients.

Pott's puffy tumour Sinusitis Complication Empyema 

Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  •  A. Guillén
    • 1
  •  M. Brell
    • 2
  •  E. Cardona
    • 1
  •  E. Claramunt
    • 1
  •  J. Costa
    • 1
  1. 1.Department of Paediatric Neurosurgery, Hospital Sant Joan de Déu, Barcelona, Spain
  2. 2.Department of Neurosurgery, Hospital Clinic, C/Villarroel, 170, 08036 Barcelona, Spain

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