Challenge: What's the diagnosis?
Image shown with permission from radswiki.net.
Thursday, March 7, 2013
Puffy
Challenge: What's the diagnosis?
Image shown with permission from radswiki.net.
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Only 20-25 cases of this disease have been described in the literature in the post-antibiotic era. A 10 year old girl is involved in a car accident where she has some mild facial trauma. Her head CT at the time is only notable for some sinusitis; she is observed for 24 hours and then discharged home. She then presents again to the emergency department with forehead swelling, headache, fever, chills, and rhinorrhea. Exam shows a minimally tender area of doughy, puffy edema. Her cranial nerve exam is normal. She has an elevated WBC count, ESR, CRP, and the CT shown above.
Challenge: What's the diagnosis?
Image shown with permission from radswiki.net.
I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Challenge: What's the diagnosis?
Image shown with permission from radswiki.net.
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2 comments:
she's got an intracranial abscess above the cribiform plate. is this a T1 post-gad? if so, she might have pachymeningeal enhancement.
yes - this is an abscess, nice call
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Puffy
Described by Sir Percivall Pott in 1768, this is none other than Potts puffy tumor, a rare clinical entity characterized by subperiosteal abscess associated with osteomyelitis.
Source: Journal of Craniofacial Surgery; Wikipedia.
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