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Puff laddy: a 5-year-old-boy with forehead swelling
  1. Laura Cannon,
  2. Eric Zwemer,
  3. John R Stephens
  1. Department of Pediatrics, UNC Health Care System, Chapel Hill, North Carolina, USA
  1. Correspondence to Dr Laura Cannon, laura.cannon{at}

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A 5-year-old boy presented with forehead swelling in the setting of a recent sinus infection. His initial symptoms were fever and nasal congestion for which he was prescribed a 10-day course of antibiotics, completed 3 days prior to admission. He subsequently developed unsteady gait, photophobia, headache, vomiting and progressive forehead swelling. He was noted to have central forehead oedema and tenderness without overlying erythaema (figure 1). There were no neurological or ophthalmological deficits. Magnetic Resonance Imaging (MRI)/Magnetic Resonance Venography (MRV) of the head demonstrated a 3.5×1.2×3.9 cm …

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