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Cranial fasciitis of the anterior fontanel
J F Martínez-Lage1, A Torroba, F López
1Pediatric Neurosurgery, Regional Service of Neurosurgery, Virgen de la Arrixaca University Hospital, Murcia, Spain.
Insights
Cranial fasciitis, a rare pediatric subscalp tumor, was diagnosed in a child presenting with an anterior fontanel mass. This case is the first reported instance of cranial fasciitis occurring at the anterior fontanel.
Area of Science:
- Pediatric Oncology
- Pediatric Neurosurgery
- Dermatopathology
Background:
- Dermoid cysts are common anterior fontanel lesions in children.
- Cranial fasciitis is a rare pediatric subscalp tumor, typically found off the midline.
- Distinguishing cranial fasciitis from other anterior fontanel masses can be challenging.
Abstract:
The most common lesions found over the anterior fontanel in children are dermoid cysts. Cranial fasciitis is an uncommon subscalp tumor that occurs exclusively in children. All previous cases have been reported away from the midline. We have recently treated a 6-year-old boy with a nonmobile mass at the anterior fontanel. Its slow evolution and its clinical and radiological features were the classic ones described for anterior fontanel dermoid cysts. Only after histopathological study was the diagnosis of cranial fasciitis of childhood established. This is the first report of cranial fasciitis arising at the anterior fontanel.