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Pediatric Cranial Fasciitis: Discussion of Cases and Systematic Review of the Literature.
World Neurosurg. 2019 05; 125:e829-e842.WN

Abstract

OBJECTIVE

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

Authors+Show Affiliations

Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.Department of Neurosurgery, University of Illinois-Chicago, Chicago, Illinois, USA.Division of Neurosurgery, Valley Children's Hospital, Madera, California, USA.Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: eskandar@musc.edu.

Pub Type(s)

Case Reports
Journal Article
Systematic Review

Language

eng

PubMed ID

30743035

Citation

Alshareef, Mohammed, et al. "Pediatric Cranial Fasciitis: Discussion of Cases and Systematic Review of the Literature." World Neurosurgery, vol. 125, 2019, pp. e829-e842.
Alshareef M, Klapthor G, Alshareef A, et al. Pediatric Cranial Fasciitis: Discussion of Cases and Systematic Review of the Literature. World Neurosurg. 2019;125:e829-e842.
Alshareef, M., Klapthor, G., Alshareef, A., Almadidy, Z., Wright, Z., Infinger, L., & Eskandari, R. (2019). Pediatric Cranial Fasciitis: Discussion of Cases and Systematic Review of the Literature. World Neurosurgery, 125, e829-e842. https://doi.org/10.1016/j.wneu.2019.01.193
Alshareef M, et al. Pediatric Cranial Fasciitis: Discussion of Cases and Systematic Review of the Literature. World Neurosurg. 2019;125:e829-e842. PubMed PMID: 30743035.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pediatric Cranial Fasciitis: Discussion of Cases and Systematic Review of the Literature. AU - Alshareef,Mohammed, AU - Klapthor,Gibson, AU - Alshareef,Ahmed, AU - Almadidy,Zayed, AU - Wright,Zachary, AU - Infinger,Libby, AU - Eskandari,Ramin, Y1 - 2019/02/08/ PY - 2018/12/19/received PY - 2019/01/19/revised PY - 2019/01/21/accepted PY - 2019/2/12/pubmed PY - 2019/12/27/medline PY - 2019/2/12/entrez KW - Cranial fasciitis KW - Craniectomy KW - Cranioplasty KW - Nodular fasciitis KW - Pediatric trauma KW - Scalp mass KW - Skull mass SP - e829 EP - e842 JF - World neurosurgery JO - World Neurosurg VL - 125 N2 - OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/30743035/Pediatric_Cranial_Fasciitis:_Discussion_of_Cases_and_Systematic_Review_of_the_Literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(19)30304-3 DB - PRIME DP - Unbound Medicine ER -