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 74
- Downloads 0
Feasibility of Extended Conservative Approach in Management of CSF Rhinorrhea
Context: CSF rhinorrhea is a potentially devastating condition which if left untreated leads to significant morbidity and mortality so timely and appropriate intervention is needed.Aims and Objectives: To determine feasi...
Primary Ewing's Sarcoma of Spine, Its Management & Outcome: A Retrospective Analysis
Objective: PrimaryEwing’ Sarcoma (ES) of spine is rare entity but causes significant morbidity if not diagnosed in time and not managed properly, so the optimal management of primary Ewing’s Sarcoma spine should be analy...
Symptom Analysis and Surgical outcome of Supratentorial Meningioma: A Prospective Study
Aim: To analyse various presentations and surgical outcome of supratentorial meningiomas. Materials and Methods: n order to analyse the various presentations and surgical outcome of supratentorial meningiomas we did a pr...
Clinical Features and Outcome of Refractory Status Epilepticus Patients in an Eastern Indian Tertiary Care Hospital
Introduction: Refractory status epilepticus is defined as the status epilepticus which is refractory to two intravenous anti-epileptic drugs, one of which is a benzodiazepine. RSE occurs in 23–43%, this progression being...
To Bleed or Not to Bleed: INR As A Prognostic Factor in Traumatic Brain Injured Patients
Background: Traumatic brain injury (TBI) is one of the leading cause of morbidity and mortality in the working class community in various part of the world including India. It is a common cause of coagulopathy, primarily...