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Cranial fasciitis located at the temporal region in a 2-year-old girl

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Abstract

Introduction

Cranial fasciitis is an exceedingly rare, benign, fibroblastic tumour of the skull of young children. It was first described in 1980 by Lauer and Enzinger as a subset of nodular fasciitis. There are fewer than 55 cases described in the literature.

Case report

We describe the presentation of a 2-year-old girl with a rapidly growing left temporal lesion, initially treated as an intramuscular haemangioma with propanolol. Following failure of response to this management, radiological and histological investigations indicated cranial fasciitis, and multidisciplinary surgery was undertaken via a bicoronal incision. Gross total resection was carried out, and the lesion was found to be adherent to but not infiltrating the dura. The petrous bone and zygomatic arch appeared destroyed, leaving a large temporal bony defect. This was repaired with a split calvarial graft from the outer table of the right parietal bone.

Discussion

Histology confirmed a diagnosis of cranial fasciitis. She had an uneventful post-operative course and was discharged home well. A CT scan 8 months post-operatively showed no residual lesion and it was noted that the reconstruction had fully integrated and the zygomatic arch had reformed.

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References

  1. Adler R, Wong CA (1986) Cranial fasciitis simulating histiocytosis. J Pediatr 109:85–88

    Article  CAS  PubMed  Google Scholar 

  2. Clapp CG, Dodson EE, Pickett BP, Lambert PR (1997) Cranial fasciitis presenting as an external auditory canal mass. Arch Otolaryngol Head Neck Surg 123:223–225

    Article  CAS  PubMed  Google Scholar 

  3. Cummings TJ, George TM, Fuchs HE, McLendon RE (2004) The pathology of extracranial scalp and skull masses in young children. Clin Neuropathol 23:34–43

    CAS  PubMed  Google Scholar 

  4. González-García L, Ros-López B, Weil-Lara B, et al. (2012) Cranial fasciitis: a case report and review of the literature. Neurocirugia (Astur)

  5. Haas AF (1999) Nodular fasciitis of the forehead. Dermatol Surg 25:140–142

    Article  CAS  PubMed  Google Scholar 

  6. Halder A, Greene C, Rivard DC, Shao L (2011) Cranial fasciitis presenting as an intracranial mass in a 10-year-old girl. Pediatr Dev Pathol 15(2):146–150

    Article  PubMed  Google Scholar 

  7. Hussein MR (2008) Cranial fasciitis of childhood: a case report and review of literature. J Cutan Pathol 35:212–214

    PubMed  Google Scholar 

  8. Imafuku S, Takahashi A, Hashizumi Y et al (2011) Cranial fasciitis resembling infantile fibrosarcoma differentiated by genetic assay. J Dermatol 38:1006–1009

    Article  PubMed  Google Scholar 

  9. Iqbal K, Saqulain G, Udaipurwala IH et al (1995) Cranial fasciitis: presentation as a post-auricular mass. J Laryngol Otol 109:255–257

    Article  CAS  PubMed  Google Scholar 

  10. Kaçar A, Paker I, Orhan D et al (2012) Childhood fibroblastic and myofibroblastic tumors: a multicenter documentation and review of the literature. Turk Patoloji Derg 28:24–30

    PubMed  Google Scholar 

  11. Keyserling HF, Castillo M, Smith JK (2003) Cranial fasciitis of childhood. AJNR Am J Neuroradiol 24:1465–1467

    PubMed  Google Scholar 

  12. Kumon Y, Sakaki S, Sakoh M et al (1992) Cranial fasciitis of childhood: a case report. Surg Neurol 38:68–72

    Article  CAS  PubMed  Google Scholar 

  13. Lauer DH, Enzinger FM (1980) Cranial fasciitis of childhood. Cancer 45:401–406

    Article  CAS  PubMed  Google Scholar 

  14. Lee JY, Kim YC, Shin JH (2004) Cranial fasciitis treated with intralesional corticosteroids. Int J Dermatol 43:453–455

    Article  PubMed  Google Scholar 

  15. Liu CC, Chang CJ, Wu YY, Wang YC (2011) Cranial fasciitis in an infant. Formos J Surg 44:228–232

    Article  Google Scholar 

  16. Marciano S, Vanel D, Mathieu MC (1999) Cranial fasciitis in an adult: CT and MR imaging findings. Eur Radiol 9:1650–1652

    Article  CAS  PubMed  Google Scholar 

  17. Oh C-K, Whang S-M, Kim B-G et al (2007) Congenital cranial fasciitis—“watch and wait” or early intervention. Pediatr Dermatol 24:263–266

    Article  PubMed  Google Scholar 

  18. Okuyama S, Kayama T, Sonoda Y et al (2003) A case of cranial fasciitis induced by trauma. No to shinkei = Brain and nerve 55:361–365

    PubMed  Google Scholar 

  19. Piekarz E, Gutkowski K, Pluta A, Bury A (2004) Cranial fasciitis—case report and literature review. Pol Arch Med Wewn 112:1341–1346

    PubMed  Google Scholar 

  20. Summers LE, Florez L, Berberian ZJM et al (2007) Postoperative cranial fasciitis. Report of two cases and review of the literature. J Neurosurg 106:1080–1085

    Article  PubMed  Google Scholar 

  21. Takeda N, Fujita K, Katayama S et al (2008) Cranial fasciitis presenting with intracranial mass: a case report. Pediatr Neurosurg 44:148–152

    Article  PubMed  Google Scholar 

  22. Yébenes M, Gilaberte M, Romaní J et al (2007) Cranial fasciitis in an 8-year-old boy: clinical and histopathologic features. Pediatr Dermatol 24:E26–E30

    Article  PubMed  Google Scholar 

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Acknowledgements

We would like to thank Mr. Thomas Nolan, Department of Clinical Photography, and Dr. Devaney and the histology department of Children’s University Hospital, Temple Street, Dublin 1 for their assistance and photographs.

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Authors and Affiliations

  1. Department of Plastic & Reconstructive Surgery, Children’s University Hospital, Temple St., Dublin 1, Ireland

    E. Curtin & D. J. Murray

  2. Department of Neurosurgery, Children’s University Hospital, Temple St., Dublin 1, Ireland

    J. Caird

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  1. E. Curtin
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  2. J. Caird
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  3. D. J. Murray
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Correspondence to E. Curtin.

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Curtin, E., Caird, J. & Murray, D.J. Cranial fasciitis located at the temporal region in a 2-year-old girl. Childs Nerv Syst 30, 2163–2167 (2014). https://doi.org/10.1007/s00381-014-2488-2

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  • DOI: https://doi.org/10.1007/s00381-014-2488-2

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