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

A Study on the Demographic Distribution of Epilepsy in a Tertiary Care Hospital

Introduction: The incidence of epilepsy in the continent has not been changed much for the past few decades and Asia contains more than half of the world‘s epileptic patients with an estimated 8 10 million in India alone...

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)...

Case Series on Vascular Malformations Presenting as Seizures

Intracranial vascular malformations, that includes arteriovenous malformations and cavernous malformations, are the most common cause of intracerebral hemorrhage in young adults. Seizures related to cavernous malformatio...

Determine the Correlation of Clinicopathologic and Radiologic Characteristic Predicting the Outcome of Meningioma

Introduction: Meningiomas of WHO grade I can, display invasive growth [2], even though there is no histopathologic difference between invasive and non-invasive tumors. Lack of homogeneity in the WHO grade I meningioma gr...

The Hidden Hematoma of the Head: Analysis of Vertex EDHs and their Outcome

Context: The skull vertex is an uncommon site for epidural hematoma (EDH) formation. The usual cause of a hematoma is a tear in the sagittal sinus due to trauma or saggital suture diastasis. Vertex EDH, even of small vol...

Download PDF file
  • EP ID EP562149
  • DOI 10.21088/ijnns.0975.0223.10218.8
  • Views 84
  • Downloads 0

How To Cite

Siddharth Vankipuram (2018). Atypically Located Pott’s Puffy Tumor Presenting as Epidural-Cutaneous Fistula. International Journal of Neurology and Neurosurgery, 10(2), 118-120. https://europub.co.uk/articles/-A-562149