Atypically Located Pott’s Puffy Tumor Presenting as Epidural-Cutaneous Fistula
Journal Title: International Journal of Neurology and Neurosurgery - Year 2018, Vol 10, Issue 2
Abstract
Pott’s puffy tumor is described as an osteomyelitis of the frontal bone with associated subperiosteal abscess. It usually presents as a swelling over the forehead. Despite its decreased incidence in the postantibiotic era, intracranial complications can be seen in upto 40% of cases. Rupture resulting in a draining cutaneous fistula has also been reported. We present one such case of a patient with two paramedian scalp masses that were initially ignored. Rupture of one of the masses led to a discharging sinus in an atypical location behind the coronal suture.The subsequent development of hemiparesis brought the patient to emergency. The location and clinical presentation led us to initially suspect an epidermoid/dermoid pathology until the final radiological and histological correlation. A bifrontal craniectomy with ultrasound guided aspiration of the abscess led to improved outcomes.
Authors and Affiliations
Siddharth Vankipuram
Keywords
Related Articles
- EP ID EP562149
- DOI 10.21088/ijnns.0975.0223.10218.8
- Views 77
- Downloads 0
How to Improve the outcome of Unidentified/ Unaccompanied Patient of Traumatic Brain Injury: An Institutional Study for Proposal of Framework
Introduction: Management of unidentified and unaccompanied patients is difficult in any health care setup due to challenges in managing their daytoday care, treatment, and finally their rehabilitation as compared to pati...
Surgical Outcome in 65 Patients of Pituitary Adenoma: Our Institutional Experience
We retrospectively analyzed 65 patients of pituitary macroadenomas operated in superspeciality hospital of Bangalore medical college and research institute from June 2010 to June 2016. Management of pituitary adenomas re...
Fractional Anisotropy and Apparent Diffusion Coefficient values on Diffusor Tensor Imaging in Parkinson’s Disease: A case-control study
Introduction: Recent evidence is shedding insights into the functional alterations in the sensorimotor, visual and basal ganglia networks in Parkinson’s Disease (PD) patients. We evaluated the Functional Anisotropy (FA)...
Giant Orbital Encephalocele with Proptosis Due to Sphenoid Wing Dysplasia Associated With Neurofibromatosis 1: Soft Tissue Repair
A 35 year female with progressive proptosis of right eye since childhood with diminution of vision presented with a swelling extending into the upper eyelid with a pulsatile proptosis. Globe deviated inferionasally with...
Diffuse Axonal Injury: An institute Experience
Introduction: Traumatic Brain Injuries are among the leading cause of mortality and morbidity world over. They are the leading cause of death among the younger age groups accounting for several indirect social and econom...