{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T05:16:34Z","timestamp":1755839794701,"version":"3.41.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Point-of-care ultrasound (POCUS) has been useful in describing soft tissue infections, such as cellulitis and abscesses. There has been limited use of ultrasound to describe findings of intracranial infections, such as Pott's puffy tumor, in cases of forehead prominence and signs of infection. In this case series we present POCUS findings in 2 cases of intracranial infections and one case of soft tissue edema without intracranial involvement from a single pediatric tertiary care center. Ultrasound findings revealed subgaleal fluid collections with associated periosteal lifting of the frontal bone in cases of Pott's Puffy tumor and intracranial infection, but no bony disruption or periosteal lifting in the patient with traumatic soft tissue edema. As pediatric intracranial infections may continue to have uncharacteristic seasonal peaks, POCUS may be considered as a first-line imaging technique for patients presenting with forehead swelling for differentiating infectious and traumatic etiologies as well as judging the need for further imaging techniques such as computed tomography and magnetic resonance imaging.<\/jats:p>","DOI":"10.1097\/pec.0000000000003311","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T14:08:02Z","timestamp":1733839682000},"page":"486-488","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Use of POCUS to Identify Subgaleal Fluid Collections and Intracranial Infections"],"prefix":"10.1097","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7274-420X","authenticated-orcid":false,"given":"Shaheen","family":"Andreas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry","family":"Chicaiza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"bib1-20250530","doi-asserted-by":"crossref","first-page":"608","DOI":"10.15585\/mmwr.mm7222a5","article-title":"Notes from the field: update on pediatric intracranial infections - 19 states and the District of Columbia, January 2016\u2013March 2023","volume":"72","author":"Accorsi","year":"2023","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bib2-20250530","doi-asserted-by":"crossref","first-page":"51","DOI":"10.29333\/ejgm\/81883","article-title":"Pott's puffy tumor: the role of ultrasound, computed tomography and magnetic resonance imaging in diagnosis","volume":"14","author":"Kalkan","year":"2017","journal-title":"Electronic J Gen Med"},{"key":"bib3-20250530","doi-asserted-by":"crossref","first-page":"103529","DOI":"10.1016\/j.amjoto.2022.103529","article-title":"Pott's puffy tumor: a comprehensive review of the literature","volume":"43","author":"Rohde","year":"2022","journal-title":"Am J Otolaryngol"},{"key":"bib4-20250530","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1002\/jmrs.251","article-title":"Not just a bump on the head: ultrasound as first-line imaging in a boy with Pott's puffy tumor","volume":"65","author":"Reddan","year":"2018","journal-title":"J Med Radiat Sci"},{"issue":"2","key":"bib5-20250530","first-page":"127","article-title":"Pott's puffy tumour in a 5-year old boy: the role of ultrasound and contrast-enhanced CT imaging; surgical case report","volume":"8","author":"Vanderveken","year":"2012","journal-title":"Case Rep B-ENT"},{"key":"bib6-20250530","doi-asserted-by":"crossref","first-page":"422","DOI":"10.5811\/cpcem.2021.6.52726","article-title":"The use of point-of-care ultrasound in the diagnosis of Pott's puffy tumor: a case report","volume":"5","author":"Acu\u00f1a","year":"2021","journal-title":"Clin Pract Cases Emerg Med"},{"key":"bib7-20250530","doi-asserted-by":"crossref","first-page":"679.e1","DOI":"10.1016\/j.ajem.2020.11.047","article-title":"Use of point of care ultrasound in the diagnosis of subgaleal hematoma following an episode of accidental pilotraction","volume":"45","author":"Kim","year":"2021","journal-title":"Am J Emerg Med"},{"key":"bib8-20250530","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1002\/jcu.20130","article-title":"Pott's puffy tumor: Sonographic diagnosis","volume":"33","author":"Weinberg","year":"2005","journal-title":"J Clin Ultrasound"},{"key":"bib9-20250530","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/PEC.0000000000000491","article-title":"An uncommon complication of sinusitis in a young adolescent","volume":"31","author":"Shemesh","year":"2015","journal-title":"Pediatr Emerg Care"},{"key":"bib10-20250530","doi-asserted-by":"crossref","first-page":"e013688","DOI":"10.1136\/bmjopen-2016-013688","article-title":"In patients presenting to the emergency department with skin and soft tissue infections what is the diagnostic accuracy of point-of-care ultrasonography for the diagnosis of abscess compared to the current standard of care? A systematic review and meta-analysis","volume":"7","author":"Barbic","year":"2017","journal-title":"BMJ Open"},{"key":"bib11-20250530","doi-asserted-by":"crossref","first-page":"198","DOI":"10.5811\/cpcem.2021.3.51375","article-title":"Point-of-care ultrasound to distinguish subgaleal and cephalohematoma: case report","volume":"5","author":"Acu\u00f1a","year":"2021","journal-title":"Clin Pract Cases Emerg Med"},{"key":"bib12-20250530","doi-asserted-by":"crossref","first-page":"bcr0420102915","DOI":"10.1136\/bcr.04.2010.2915","article-title":"Subaponeurotic or subgaleal fluid collections in infancy: An unusual but distinct cause of scalp swelling in infancy","volume":"2010","author":"Vaibhav","year":"2010","journal-title":"BMJ Case Rep"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T15:00:34Z","timestamp":1748617234000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,30]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003311","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"type":"electronic","value":"1535-1815"},{"type":"print","value":"0749-5161"}],"subject":[],"published":{"date-parts":[[2025,5,30]]}}}