Cranial Fasciitis

Definition

Cranial Fasciitis (CF) is a benign fibroblastic and myofibroblastic proliferative condition of the soft and hard tissues of the cranium. It is considered a variant of nodular fasciitis.

Clinical Features

• Incidence

  CF is rare, with approximately 70 cases reported in the literature (Lauer and Enzinger 1980; Sarangarajan and Dehner 1999; Salib et al. 2019).

• Age

  It usually presents in children under the age of 2 years.

• Sex

  CF involves more frequently males (Sarangarajan and Dehner 1999).

• Site

  CF typically affects the cranial vault, with a predilection for the temporal and parietal regions (Lauer and Enzinger 1980; Sarangarajan and Dehner 1999). The lesion is located in the subcutis, but bone erosion and involvement of the dura may occur (Fig. 1).

• Treatment

  Conservative surgical excision is the treatment of choice.

• Outcome

  CL is benign and recurrence is rare. Spontaneous regression may occur.

  Fig. 1

  

  Cranial fasciitis involving the occipital bone. The lesion is well-circumscribed...