Exclusively intracranial and cranial fasciitis of the adult age

Clin Neurol Neurosurg. 2002 Dec;105(1):35-8. doi: 10.1016/s0303-8467(02)00095-1.

Abstract

The unusual case of an exclusively intracranial localization of fasciitis (CF) in a man aged 47 is reported. The cystic lesion had been accidentally discovered 10 years before when the patient sustained a contralateral ischemic stroke; the cyst, being absolutely silent, was not operated on at that time. After 10 years, the patient complained of seizures and mild right-sided paresis. CT scan revealed a dramatic increase of the lesion whose mass effect caused an initial subfalcial herniation of the brain. The mass was grossly removed, the patient recovered and become seizure-free. CF, rare in childhood, is exceptional in the adult age. The importance of a correct histological diagnosis is hereby stressed, because CF is absolutely benign, self-limiting, and does not require further treatment, but may be misdiagnosed as sarcoma.

Publication types

  • Case Reports

MeSH terms

  • Bone Cysts / complications
  • Bone Cysts / diagnosis
  • Bone Cysts / surgery
  • Brain / diagnostic imaging*
  • Brain / pathology*
  • Brain / surgery
  • Diagnosis, Differential
  • Fasciitis / diagnosis*
  • Fasciitis / etiology
  • Fasciitis / surgery
  • Frontal Bone / diagnostic imaging
  • Frontal Bone / pathology
  • Frontal Bone / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Sarcoma / diagnosis
  • Seizures / etiology
  • Skull Neoplasms / diagnosis
  • Tomography, X-Ray Computed