Cranial fasciitis in a 7-year-old boy - A rare case report

Cranial fasciitis is an uncommon reactive disorder, observed almost exclusively in children, characterized by proliferation of fibroblast-like cells, manifesting clinically as a rapidly growing solitary nodule in the head and neck area, frequently eroding the underlying bone, thus mimicking more aggressive lesions both clinically and radiologically. Histopathologic examination is essential to differentiate between cranial fasciitis and fibrohistiocytic or even sarcomatous lesions observed in children. An increased awareness of this distinctive uncommon lesion is important to establish the diagnosis and to avoid unnecessary aggressive procedures. We present a case of cranial fasciitis with intracranial extension in a 7-year-old boy.