Cranial fasciitis in an adult: CT and MR imaging findings

Abstract

Cranial fasciitis is a rare bone lesion in childhood. We report the first case in an adult, with CT and MR imaging, and suggest some diagnostic keys.

Cranial Faciitis: A Rare Variant in Childhood

“…It is an extremely rare tumor, with fewer than 40 cases reported in the literature 3 . These tumors occur as a rapidly enlarging mass, most commonly in the soft tissues of the temporal region, followed by the parietal, occipital and frontal regions 5 .…”

Fasciite craniana em paciente jovem

“…Segundo Marciano e cols. 7 ocorre quase exclusivamente na infância, abaixo dos 6 anos, mas têm sido descritos casos de FC em adultos. Nenhum fator predisponente foi identifi cado; entretanto, muitos artigos citam o traumatismo prévio na área afetada como possível fator de desenvolvimento dessa entidade.…”

Cranial Fasciitis Presenting with Intracranial Mass: A Case Report

“…Lesions occurred at the site of previous head trauma in 10 cases (20%) including birth trauma such as forceps delivery in 1 patient, but whether head trauma is an etiological factor has not been determined. In 12 of the reported 21 patients, skull X-ray showed an osteolytic change with a sclerotic rim [3, 4, 6, 13, 14, 18, 19, 24, 28, 36] and sometimes with a bone defect [2, 23], but in 8 patients [11, 12, 15, 21, 22, 25, 30], including ours, normal findings and in 1 patient [26] an ossifying change. CT scan showed an erosion, sometimes with calcification.…”

“…Forty-nine cases have been reported in the literature[1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36] and table 1 summarizes 50 cases of cranial fasciitis, including our patient. The average patient age is less than 3 years and ranges from newborn to 47 years.…”