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01-09-2014 | Original Paper

Neurosurgical implications of Pott’s puffy tumor in children and adolescents

Authors: J. Francisco Salomão, Tatiana Protzenko Cervante, Antonio R. Bellas, Márcia C. B. Boechat, Sheila M. Pone, Marcos V. S. Pone, Bernardo de A. Pereira

Published in: Child's Nervous System | Issue 9/2014

Abstract

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.

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Title: Neurosurgical implications of Pott’s puffy tumor in children and adolescents
Authors: J. Francisco Salomão
Tatiana Protzenko Cervante
Antonio R. Bellas
Márcia C. B. Boechat
Sheila M. Pone
Marcos V. S. Pone
Bernardo de A. Pereira
Publication date: 01-09-2014
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 9/2014
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-014-2480-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Neurosurgical implications of Pott’s puffy tumor in children and adolescents

Abstract

Introduction

Patients and methods

Results

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Patients and methods

Results

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