Türk Nöroşirürji Dergisi 2010 , Vol 20 , Num 2
Iatrogenic Pott's Puffy Tumor
Melih ÇEKİNMEZ, Feyzi Birol SARICA, Kadir TUFAN, Özgür KARDEŞ, Nihat Berkay KÖKSOY, Mehmet Nur ALTINÖRS
Başkent Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye AIM: Pott's puffy tumor (PPT), is a subperiostal abscess derived from a frontal sinusitis acompanied by osteomyelitis. Main symptoms are headache, periorbital edema, fever, vomiting, rinorhea and letargy. Our case represented a patient who suffered from PPT, after operated for anterior communicating artery aneurysm.

MATERIAL and METHODS: 57 year old male with a complaint of rhinitis and erythema with edema located on the left side of the forehead which became symptomatic 1 week ago.The patient was operated with a diagnosis of anterior communicating artery aneurysm 2 years ago and no history of cranial trauma or infectious disease were present .His neurological examination was normal. Laboratory findings were leukocyte: 9770/mm3, CRP: 113 mg/dL, sedimentation: 67 mm/sec . Radiological imaging showed a left frontotemporal craniectomy defect and abscess formation adjacent to the graft and pansinuitis. The abscess was drained and antibiotheraphy was aplied. The patients neurological examination revealed no deficits during 3 month follow up .

RESULTS: PPT, usually formed after a frontal sinusitis. In this case, a PPT formed iatrogenically, as a result of unsufficient oblitaration of the frontal sinus, during a craniotomy. Most accepted treatment is evacuation of the abscess formation combined with long term antibiotheraphy Anahtar Kelimeler : Abscess, Osteomyelitis, Pott's Puffy Tumor