[Cranial fascitis--case report and literature review]

Cranial fascitis is a rare disease that is considered as a subset of nodular fascitis. Lauer and Enzinger described the disease for the first time in 1980 as a cranial fascitis of childhood (CFC), based on pathologic findings in nine cases of children from three weeks to six year old. The disease is benign proliferation of immature fibroblasts infiltrating the cranial bones with tendency to form tumor like shapes. Surgery excision gives total cure and recurrence is very rare. We present the case of a twenty years old male patient with head trauma in medical history and two years history of recurrent forehead headache. Performed cerebral computerized tomography and skeleton scintigraphy showed erosion of the lateral parts of both frontal skull bones and upper-lateral parts of the right and left orbital cavity. In general anesthesia, biopsy specimen was taken. After histopathological examination the diagnosis of cranial fascitis was established. Eight months after the diagnosis we observed progression of the skull bones destruction. Therefore our recommended treatment was surgical excision but we did not obtain patient agreement.