A Case of Pott’s Puffy Tumor as a Rhinogenic Intracranial Complication

Abstract

Pott’s puffy tumor refers to a forehead swelling caused by a frontal-bone sub periosteal abscess.

We report the case of a 16-year-old woman with acute rhinosinusitis who developed fever, headache, and a forehead swelling. Her symptoms improved with antibiotic therapy and she was discharged from the hospital on the fifth day. On the sixth day after discharge, she presented with a relapse of rhinosinusitis, and was diagnosed by cranial computed tomography (CT) as having the intracranial computation of an extradural abscess. Endoscopic sinus surgery with debridement of the extradural abscess via a craniotomy was performed in collaboration with the neurosurgeon, along with administration of antibiotic therapy. She was discharged from the hospital on the 22^nd day.

Forehead swelling which developed as a sign of Pott’s puffy tumor in this patient is an important sign of intracranial complications.