Exclusively intracranial and cranial fasciitis of the adult age.
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.
Rapanà
A
A
Neurosurgical Division, Azienda Ospedaliera Autonoma, Caserta Civil Hospital, Via Tescione, 81100 Caserta, Italy. armandorapana@hotmail.com
Iaccarino
C
C
Bellotti
A
A
Marsicano
C
C
Donnianni
T
T
Tedeschi
E
E
D001845:Bone Cysts / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D001921:Brain / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005208:Fasciitis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005624:Frontal Bone / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012509:Sarcoma / Q000175:diagnosis; D012640:Seizures / Q000209:etiology; D012888:Skull Neoplasms / Q000175:diagnosis; D014057:Tomography, X-Ray Computed