Pott's puffy tumor of the vertex years after trauma in a diabetic patient: case report
Yükleniyor...
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Sociedad Luso-Espanola Neurocirugia
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Pott's puffy tumor is a rare clinical entity characterized by subperiosteal abscess associated with osteomyelitis. It is usually seen as a complication of frontal sinusitis or trauma. This is the unique report of a Pott's puffy tumor located over the vertex of a type 1 diabetic patient with an unusual latency of 14 years following injury. A 27-year old man presented with pain and a soft swelling on his vertex. Magnetic resonance imaging demonstrated subperiosteal abscess in the vertex region associated with dural thickening and perisinusal irregularities of epidural space. Further history revealed that he had a trauma to the same location when he was 13 years old. Considering possible complications due to proximity of the lesion to the sagittal sinus, we retrained from aggressive surgical interventions. We treated our patient with a simple surgical abscess drainage followed by prolonged use of antibiotics and achieved complete therapy. The cellular and humoral elements of the immune system may be disrupted in diabetic patients resulting in such atypical courses and complications of infections. We want to emphasize both importance of the prompt diagnosis of Pott's puffy tumor as intracranial invasion may cause severe neurologic problems, and importance of a surgical intervention tailored for the individual lesion.
Açıklama
EVLIYAOGLU, CETIN AYHAN/0000-0002-1774-3084
Anahtar Kelimeler
Pott's puffy tumor, osteomyelitis, scalp abscess, trauma, diabetes
Kaynak
Neurocirugia
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
16
Sayı
1
Künye
closedAccess
