Potts Puffy Tumor: A Rare Cause of Seizure in Children

Potts puffy tumor is subperiosteal abscess of the frontal bone associated with frontal osteomyelitis. It can present with seizures as the presenting feature. We report a case of 14-year-old male who presented with seizures secondary to Potts puffy tumor. A 14-year-old adolescent male presented with complaints of recurring episodes of generalized tonic clonic seizure. On examination, he was also found to have swelling over the forehead. He also complained of intermittent high-grade fever, nasal obstruction, and headache. Laboratory investigation showed leukocytosis. Contrast-enhanced magnetic resonance imaging of brain showed the presence of left frontal swelling with subcutaneous collection, frontal bone defects with bifrontal chronic subdural collection, and underlying buckling of brain parenchyma. Contrast-enhanced computed tomographic scan of paranasal sinuses showed the presence of fluid collection over the frontal region, with enhancing anterior frontal wall thickening, with another extra-axial fluid collection just beneath the inner table of frontal bone with associated erosion and cortical irregularity in the adjacent frontal bone. Endoscopic sinus surgery with external drainage of Pott’s puffy tumor was done. Intravenous antibiotic was given for 6 weeks along with antiepileptics. Potts puffy tumor is a rare complication of frontal sinusitis, which can present rarely to emergency with seizures and frontal swelling.
Cite this article as: Verma RK, Abraham S. Potts Puffy Tumor: A Rare Cause of Seizure in Children. Eur J RhinolAllergy 2021;4(3):99- 102.