Salomão J Francisco, Cervante Tatiana Protzenko, Bellas Antonio R, Boechat Márcia C B, Pone Sheila M, Pone Marcos V S, de A Pereira Bernardo
Section of Pediatric Neurosurgery, Department of Pediatric Surgery, Fernandes Figueira National Institute for Health of Woman, Child and Adolescent, Oswaldo Cruz Foundation (IFFFiocruz), Av. Rui Barbosa, 716, 22250-020, Rio de Janeiro, RJ, Brazil,
Childs Nerv Syst. 2014 Sep;30(9):1527-34. doi: 10.1007/s00381-014-2480-x. Epub 2014 Jul 5.
Pott's puffy tumor (PPT) is rare and usually seen as a complication of frontal sinusitis resulting in subperiosteal abscess of the frontal bone with underlying osteomyelitis. PPT is potentially severe and can lead to life-threatening intracranial complications.
The authors present a series of six pediatric patients diagnosed with PPT and intracranial complications between 1999 and 2012. There were five boys and one girl, and the mean age at diagnosis was 11.8 years. All patients presented with frontal swelling, headache, and fever. Two patients had lowered level of consciousness and severe hemodynamic instability.
All patients had epidural abscess, and one also presented subdural empyema. Five patients underwent drainage of all associated abscesses, bone resection, and sinusitis treatment. One was treated conservatively with broad-spectrum antibiotics, and no surgical intervention was required. All patients fully recovered their neurologic status, without further complications.
波特氏浮肿性骨炎（PPT）较为罕见，通常被视为额窦炎的一种并发症，会导致额骨骨膜下脓肿并伴有潜在的骨髓炎。PPT可能较为严重，可引发危及生命的颅内并发症。
作者报告了1999年至2012年间一系列6例被诊断为PPT并伴有颅内并发症的儿科患者。其中有5名男孩和1名女孩，诊断时的平均年龄为11.8岁。所有患者均出现额部肿胀、头痛和发热症状。2例患者有意识水平降低和严重的血流动力学不稳定情况。
所有患者均有硬膜外脓肿，1例还伴有硬膜下积脓。5例患者接受了所有相关脓肿的引流、骨切除和鼻窦炎治疗。1例患者采用广谱抗生素进行保守治疗，无需手术干预。所有患者的神经功能均完全恢复，无进一步并发症。
