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Cranial Fasciitis of Childhood

Harold F. Keyserling, Mauricio Castillo and J. Keith Smith
American Journal of Neuroradiology August 2003, 24 (7) 1465-1467;
Harold F. Keyserling
aFrom the Department of Radiology, University of North Carolina Hospitals, Chapel Hill, NC
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Mauricio Castillo
aFrom the Department of Radiology, University of North Carolina Hospitals, Chapel Hill, NC
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J. Keith Smith
aFrom the Department of Radiology, University of North Carolina Hospitals, Chapel Hill, NC
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    Fig 1.

    Frontal (A) and lateral (B) conventional radiographs of the skull, demonstrating cranial fasciitis of the skull as a single lytic defect in the temporal region with associated soft tissue swelling of the overlying scalp. The lesion has a narrow zone of transition, and there is no periosteal new bone formation. There are no other bony lesions in the remainder of the axial or appendicular skeleton.

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    Fig 2.

    Axial CT images (A and B) of the head, demonstrating cranial fasciitis of the skull as a soft tissue mass centered in the calvarium. There is destruction of the inner and outer tables of the skull. The mass is extraaxial.

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    Fig 3.

    Axial T2-weighted (4780/100 [TR/TE]) (A), diffusion-weighted (b value = 1000, 5100/137 [TR/TE]) (B), and pre- (C), and postcontrast (D) T1-weighted (500/12 [TR/TE]) MR images of the brain, demonstrating cranial fasciitis of the skull as a solitary, homogeneously enhancing, extraaxial soft tissue mass centered in the calvarium. The lesion demonstrates heterogeneous T2 signal intensity, no restriction of diffusion on diffusion-weighted image, and signal intensity that is isointense to gray matter on the precontrast T1-weighted image. The postcontrast image shows enhancement of the underlying dura. There is no involvement of the underlying brain.

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American Journal of Neuroradiology: 24 (7)
American Journal of Neuroradiology
Vol. 24, Issue 7
1 Aug 2003
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Harold F. Keyserling, Mauricio Castillo, J. Keith Smith
Cranial Fasciitis of Childhood
American Journal of Neuroradiology Aug 2003, 24 (7) 1465-1467;

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Cranial Fasciitis of Childhood
Harold F. Keyserling, Mauricio Castillo, J. Keith Smith
American Journal of Neuroradiology Aug 2003, 24 (7) 1465-1467;
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