Skull osteomyelitis - Pott puffy tumour

Case contributed by Dr Bruno Di Muzio

Presentation

History of left anterior parasagittal craniotomy for an aneurysm surgery. Presents with fever and cellulitis in the left front.

Patient Data

Age: 65 years
Gender: Female
CT

CT Brain

Hyperostosis characterized by thickening of the left frontal and ethmoid bone plate. Opacification of the left frontal sinus and ethmoid cells (sinus inflammation). There is also increase of extracranial soft tissue on left front, but no signs of brain involvement.

Case Discussion

This case represents a frontal and ethmoid sinus inflammation that extends to the left frontal craniotomy, with inflammation of the local extra-cranial soft tissues. The case can be understood as an osteomyelitis of bone flap and as a Pott puffy tumour.

The patient was treated with antibiotics and further craniectomy. 

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Case information

rID: 21567
Published: 31st Jan 2013
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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