Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.
College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
World Neurosurg. 2019 May;125:e829-e842. doi: 10.1016/j.wneu.2019.01.193. Epub 2019 Feb 8.
Cranial fasciitis is a rare benign mass that typically presents in pediatric patients from 3 weeks to 6 years of age. It is classified as a subset of nodular fasciitis and was first reported in 1980. This study evaluates the literature for common characteristics that may affect diagnosis and treamtent.
We describe the case of a 13-month-old girl with a history of accidental head trauma 7 months before presentation and the case of a 5-month-old girl with an expansile skull lesion. We also performed a systematic review of the reported data on cranial fasciitis, including a total of 57 reported studies with 80 unique cases.
There were 80 total cases reviewed in the literature. There was a male predominence, 1.75:1. The average age at presentation was 5.2 years. The most common causes for this lesion were idiopathic (65%), blunt trauma (14%) and radiation therapy (7%). Overall, there was a 9% recurrence rate following treatment.
We report the characteristics at presentation, including, to the best of our knowledge, the first account of gender differences, and the treatment modalities used in the included studies and the implications in relation to the recurrence rates.
颅筋膜炎是一种罕见的良性肿块，主要发生在 3 周至 6 岁的儿科患者中。它被归类为结节性筋膜炎的一个亚组，于 1980 年首次报道。本研究评估了可能影响诊断和治疗的常见特征的文献。
我们描述了一名 13 个月大的女孩的病例，该女孩在就诊前 7 个月有意外头部外伤史，另一名 5 个月大的女孩有颅骨扩张性病变。我们还对颅筋膜炎的报告数据进行了系统回顾，包括总共 57 项研究，共 80 例独特病例。
文献中回顾了 80 例总病例。男性占优势，比例为 1.75:1。就诊时的平均年龄为 5.2 岁。导致这种病变的最常见原因是特发性（65%）、钝挫伤（14%）和放射治疗（7%）。总体而言，治疗后复发率为 9%。
我们报告了就诊时的特征，包括我们所知的首次性别差异，以及纳入研究中使用的治疗方式，以及与复发率相关的影响。
