Arnold Paul M, Govindan Sushant, Anderson Karen K
Department of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.
Pediatr Neurosurg. 2009;45(6):407-9. doi: 10.1159/000270154. Epub 2009 Dec 24.
Frontal bone osteomyelitis is a relatively rare entity, particularly in the otherwise healthy pediatric population. Most cases trace their origins to either previous frontal sinusitis or trauma. In children, three origins for cranial osteomyelitis appear to dominate: Pott's puffy tumor, skull base osteomyelitis secondary to ear infection, or post-surgical complications. However, on extremely rare occasions, risk factors or etiology may not be ascertained. We present a case of spontaneous frontal bone osteomyelitis in a ten-year-old African-American male with no previous history of cranial surgeries, frontal sinusitis, or major trauma.
额骨骨髓炎是一种相对罕见的病症，在其他方面健康的儿童群体中尤为如此。大多数病例追溯其起源要么是既往的额窦炎，要么是外伤。在儿童中，颅骨骨髓炎的三个起源似乎占主导：波特氏水肿性骨炎、耳部感染继发的颅底骨髓炎或术后并发症。然而，在极少数情况下，可能无法确定危险因素或病因。我们报告一例10岁非裔美国男性自发性额骨骨髓炎病例，该患者既往无颅骨手术、额窦炎或重大外伤史。
