Introduction Pott’s puffy tumor (PPT) is rare and usually seen as a complication of frontal sinusitis resulting in subperiosteal abscess of the frontal bonewith underlying osteomyelitis. PPT is potentially severe and can lead to life-threatening intracra-nial complications. Patients and methodsThe authors present a series of six pediatric patients diagnosed with PPT and intracranial com-plications between 1999 and 2012. There were five boys and one girl, and the mean age at diagnosis was 11.8 years. All patients presented with frontal swelling, headache, and fever. Two patients had lowered level of consciousness and severe hemodynamic instability. ResultsAll patients had epidural abscess, and one also pre-sented subdural empyema. Five patients underwent drainage of all associated abscesses, bone resection, and sinusitis treat-ment. One was treated conservatively with broad-spectrum antibiotics, and no surgical intervention was required. All patients fully recovered their neurologic status, without further complications.