Clinical Management and Neurosurgical Approach of Pott’s Puffy Tumor: A Case Report
Leopoldo Mandic Ferreira Furtado, Luiza Cassino Gil Nunes, Cristina Gabriela Fernandes, Patricia Cruz Guimarães Pinto, José Aloysio Da Costa Val Filho

TL;DR
A case report describes the clinical management of a rare Pott’s puffy tumor in an 11-year-old girl, emphasizing the importance of prompt diagnosis and treatment.
Contribution
This case report highlights a successful neurosurgical approach and antibiotic therapy for a Pott’s puffy tumor in a pediatric patient.
Findings
The patient showed symptoms of headache and facial edema, diagnosed with Pott’s puffy tumor via CT and MRI.
Neurosurgical intervention included pus evacuation and frontal sinus blockage, followed by antibiotic therapy.
Prompt diagnosis and treatment were critical in preventing complications and ensuring recovery.
Abstract
Pott’s puffy tumors are assumed to be infrequent concomitant intra- and extracranial abscesses, mainly secondary to complicated frontal sinusitis during infancy. Due to the close proximity to the superior sagittal sinus, there is a risk of developing venous infections, thrombosis, and morbidity. In this case report, we present a case of an 11-year-old girl who presented with headache and face edema. After recognizing the Pott’s puffy tumor pattern on the CT scan and brain MRI, the neurosurgical approach involved pus evacuation and frontal sinus blockage, and the patient received antibiotic therapy and was evaluated for total recovery. To our knowledge, the prompt diagnosis and treatment of such conditions are paramount to avoid complications, and differential diagnosis should be encouraged in medical practice.
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Taxonomy
TopicsSinusitis and nasal conditions · Head and Neck Surgical Oncology · Cerebral Venous Sinus Thrombosis
