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1 results

  • A case of cranial fasciitis masquerading as acute mastoiditis

  • L R Marshall, R J Salib, T E Mitchell, I Moore
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 2 / February 2009
    Published online by Cambridge University Press:
    05 June 2008, pp. 245-247
    Print publication:
    February 2009
  • Objective:

    We report a case of infection against a background of pre-existing cranial fasciitis.

    Method:

    Case report and review of world literature on cranial fasciitis.

    Results:

    Cranial fasciitis of childhood is a benign condition and a rare variant of nodular fasciitis. We present the case of a 10-week-old infant with symptoms and signs consistent with a subperiosteal abscess complicating acute mastoiditis. Subsequent findings showed this to be an infection against a background of pre-existing cranial fasciitis.

    Conclusion:

    To our knowledge, this is the first such reported case in the literature. Knowledge of the distinctive histopathological features, coupled with an awareness of the condition, are crucial to establishing a definitive diagnosis of cranial fasciitis and, in turn, to instituting appropriate management. The aetiopathogenesis of the condition remains unclear.