Shehu B B, Mahmud M R
Regional Centre For Neurosurgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Sokoto State, Nigeria.
Ann Afr Med. 2008 Sep;7(3):138-40. doi: 10.4103/1596-3519.55663.
A 10-year-old girl presented with an episode of seizure following oste omyelitis of the frontal bone and subperiosteal abscess due to frontal sinusitis. CT scan confirmed osteomeyelitis of the frontal bone and subperiosteal abscess. At surgery, the subperiosteal abscess and contiguous subdural abscess was drained and sequestrectomy of the affected frontal bone done. Broad spectrum antibiotics and anticonvulsant were given for 4 weeks. The patient recovered without residual problems and has remained well at 5 years of follow up. Pott's puffy tumor is now relatively uncommon and associated seizure is unusual. Early diagnosis and prompt treatment is necessary to avoid severe neurological complications and sequelae.
一名10岁女孩因额窦炎导致额骨骨髓炎和骨膜下脓肿后出现癫痫发作。CT扫描证实额骨骨髓炎和骨膜下脓肿。手术中，引流了骨膜下脓肿和相邻的硬膜下脓肿，并对受影响的额骨进行了死骨切除术。给予广谱抗生素和抗惊厥药物治疗4周。患者康复，无残留问题，随访5年情况良好。波特氏浮肿性骨炎现在相对不常见，且相关癫痫发作也不寻常。早期诊断和及时治疗对于避免严重的神经并发症和后遗症是必要的。
