A Novel Therapeutic Approach for Cranial Fasciitis Utilizing Frameless Stereotaxy

FACE ◽  
2021 ◽  
pp. 273250162110188
Author(s):  
Jeremie D. Oliver ◽  
Eisha A. Christian ◽  
David S. Cassarino ◽  
Stacey H. Francis
Keyword(s):  
Normal Tissue ◽  
Pediatric Population ◽  
Signs And Symptoms ◽  
Recurrence Risk ◽  
Accurate Diagnosis ◽  
Deep Fascia ◽  
Frameless Stereotaxy ◽  
Reactive Process ◽  
Cranial Fasciitis ◽  
Fibroblastic Proliferation

Cranial fasciitis is a rare cause of a painless, progressive skull mass in the pediatric population, having been described in only 80 cases in the literature to-date. While the etiology remains unknown, the pathogenesis is thought to be a reactive process causing a non-neoplastic fibroblastic proliferation arising from the deep fascia or periosteum of the cranium. Accurate diagnosis may be delayed due to the lack of physical signs and symptoms on presentation, as well as equivocal imaging for the other lesions included in the differential diagnosis. Importantly, in the case of cranial fasciitis, involved tissue is hard to decipher from normal tissue in the cranium, and margin recommendations have not yet been made clear in the current literature. Herein, we present a case of confirmed cranial fasciitis in a 2-year-old female patient in whom frameless stereotaxy was used intraoperatively to determine the extent of the lesion and ensure adequate resection and minimize recurrence risk.

scholarly journals Diagnosis of Growing Pain in Bangladeshi Pediatric Population

2013 ◽  
Vol 5 (1) ◽  
pp. 46-48 ◽  
Author(s):  
Santosh Kumar Saha ◽  
Aditi Modak ◽  
Kamrunnahar Chowdhury ◽  
Md Saleh Uddin ◽  
Dilip Kumar Ghosh ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Pediatric Population ◽  
Accurate Diagnosis ◽  
Clinical Aspects ◽  
Limb Pain ◽  
Diagnostic Challenge ◽  
Growing Period ◽  
Frequent Site ◽  
Slow Growing

Background: Unexplained limb pain is a major diagnostic challenge. Parents become very much worried as their physician are not sure regarding accurate diagnosis of unexplained limb pain. Majority of the limb pain are due to Growing pain which can be diagnosed by using Standard Criteria. Objectives: The purpose of the present study was to see the clinical aspects of growing pain and to determine the causes of unexplained limb pain. Methodology: This study prospectively examined the presence of growing pain in a self reported population of children with limb pain of unexplained etiology attending National Center for Control of Rheumatic Fever and Heart Disease over the period of 6 months. Results: Total 57 children of 3-12 yrs of age were enrolled in this study and out of them 43(75.4%) were diagnosed as Growing Pain. Mean age of growing pain was 7.77(2.66). 19 children (44.2%) were male and 24 (55.8%) were female. Most frequent site of pain was calf (65.1%) and 95% cases pain occur at night. Growing Pain usually occur at slow growing period (86%) than rapid growing period (14%). Conclusion: Majority of unexplained limb pain are growing pain which is benign. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16251 J Shaheed Suhrawardy Med Coll, 2013;5(1):46-48

scholarly journals Adrenocortical Carcinoma in a 3 yrs Girl—A Case Report

1970 ◽  
Vol 22 (1) ◽  
pp. 142-143
Author(s):  
M Nowshad Ali ◽  
S Hoq Miah ◽  
M Meharunnesa ◽  
SM Badruddoza ◽  
Mushtaque Ahmed
Keyword(s):  
Case Report ◽  
Precocious Puberty ◽  
Cushing’S Syndrome ◽  
Adrenocortical Carcinoma ◽  
Pediatric Population ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Adrenal Tumour ◽  
Uncommon Tumour

Adrenocortical carcinoma is an uncommon tumour in the pediatric population. Account for only a small fraction of pediatric adrenal tumour. Most tumors in children are functional, and virilization is by far the most common presenting symptom, followed by Cushing's syndrome and precocious puberty. All patients with suspected adrenocortical carcinoma should be carefully evaluated for signs and symptoms of hormonal syndromes. DOI: 10.3329/taj.v22i1.5039 TAJ 2009; 22(1): 142-143

scholarly journals PARTICULARITIES OF PEDIATRIC SYSTEMIC LUPUS ERYTHEMATOSUS – LITERATURE REVIEW

2017 ◽  
Vol 26 (1) ◽  
pp. 5-7
Author(s):  
Oana-Maria Farkas ◽  
◽  
Sigrid Covaci ◽  
Alexis-Virgil Cochino ◽  
◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Pediatric Population ◽  
Signs And Symptoms ◽  
Classification Criteria ◽  
Neurological Involvement ◽  
Systemic Lupus ◽  
Pediatric Systemic Lupus Erythematosus ◽  
American College Of Rheumatology ◽  
Clinical Onset

Pediatric Systemic Lupus Erythematosus (pSLE) is a complex autoimmune disease with onset of symptoms before 18 years of age, accounting for 18-20% of all SLE cases. Although the American College of Rheumatology (ACR) classification criteria and the SLICC (Systemic Lupus International Collaborating Clinics) classification criteria for adults with SLE are commonly applied to pSLE, its clinical onset is different. Renal and neurological involvement tend to be more common and more severe in pediatric population as compared to adults, being therefore major determinants of prognosis and mortality. Renal biopsy should be performed as early as possible in every case of pSLE with signs and symptoms of renal impairment.

Diagnosing cranial fasciitis based on distinguishing radiological features

2008 ◽  
Vol 2 (5) ◽  
pp. 370-374 ◽  
Author(s):  
Keyne K. Johnson ◽  
Mark J. Dannenbaum ◽  
Meenakshi B. Bhattacharjee ◽  
Anna Illner ◽  
Robert C. Dauser ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Pediatric Population ◽  
Bone Lesion ◽  
Vacuum Extraction ◽  
Histopathological Findings ◽  
Radiological Features ◽  
Cranial Fasciitis ◽  
Lytic Bone Lesion ◽  
Myxoid Matrix ◽  
Painless Mass

Primary skull lesions, albeit rare in the pediatric population, have been well described and classified. These lesions are usually benign and commonly present as a painless mass. The most common lesions are epidermoid, dermoid, and Langerhans cell histiocytosis. Cranial fasciitis, encountered less frequently, is usually not considered in this differential diagnosis. Given such few cases reported, it is commonly misdiagnosed preoperatively. The authors retrospectively reviewed data obtained in 4 patients with cranial fasciitis in whom the diagnosis was based on histopathological findings. In 2 patients the onset of the lesion was spontaneous. One patient had a lesion 4 months following a vacuum extraction and subsequent cephalohematoma formation. One patient developed a lesion following a previous craniectomy. Presentation, imaging studies, and histopathological findings were all reviewed and analyzed. All patients presented with a firm nontender mass. Radiological features included a lytic bone lesion with a mildly sclerotic margin, T1 isodensity, T2 heterogeneous hyperdensity, and heterogeneous enhancement. The enhancing portion was not bright on T2-weighted MR images, likely representing the fibrous component; the nonenhancing portion was bright on T2-weighted images, likely representing the myxoid matrix. Histopathological examination revealed proliferating fibroblasts in a myxoid matrix. Cranial fasciitis is a benign, painless but rapidly growing lesion of the skull mainly limited to the pediatric population. It is histologically similar to nodular fasciitis, a fibroblastic proliferation of varying size. These lesions are often related to trauma but can also be insidious or can develop at a prior craniectomy site. The appropriate clinical picture and distinguishing radiographic features may help to differentiate cranial fasciitis from other lesions of the skull allowing for earlier intervention.

scholarly journals Recurrent Bacterial Meningitis in a Child with Mondini Dysplasia

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Eda Kepenekli-Kadayifci ◽  
Ayşe Karaaslan ◽  
Serkan Atıcı ◽  
Adem Binnetoğlu ◽  
Murat Sarı ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Hearing Loss ◽  
Bacterial Meningitis ◽  
Complete Resolution ◽  
Signs And Symptoms ◽  
Accurate Diagnosis ◽  
Developmental Abnormality ◽  
Mondini Dysplasia ◽  
Csf Leakage ◽  
Underlying Pathology

Mondini dysplasia, also known as Mondini malformation, is a developmental abnormality of the inner and middle ears that can cause hearing loss, cerebrospinal fluid (CSF) leakage, and recurrent bacterial meningitis (RBM), which is defined as two or more episodes of meningitis separated by a period of convalescence and the complete resolution of all signs and symptoms. An accurate diagnosis of the underlying pathology is crucial to prevent further episodes from occurring. Herein, we present a three-year-old boy with RBM and unilateral sensorineural hearing loss. During the evaluation to determine the etiology of the RBM, cystic malformation in the cochlea and vestibular dilatation consistent with Mondini dysplasia were detected via computerized tomography (CT) of the temporal bone.

scholarly journals ETIOLOGY FOR LIVER DISEASES IN PEDIATRIC POPULATION

2016 ◽  
Vol 10 (1) ◽  
pp. 91 ◽  
Author(s):  
Jismy Karakkattu ◽  
Roshni Pr
Keyword(s):  
Liver Failure ◽  
Acute Liver Failure ◽  
Liver Diseases ◽  
Metabolic Diseases ◽  
Pediatric Population ◽  
Adult Population ◽  
Signs And Symptoms ◽  
Special Focus ◽  
Ongoing Research ◽  
Pediatric Liver

ABSTRACTObjective: The liver diseases affect both the pediatric and adult populations. In the adult population, the stereotype diagnosis in the Indian populationis targeted toward males due to excessive alcoholic consumption. Nevertheless, the liver diseases can also affect both the female and pediatricpopulations. Pediatric liver diseases include cirrhosis, fatty liver diseases, and hepatic failure. The liver diseases are commonly caused by biliaryatresia and genetic metabolic diseases. In children, the signs and symptoms of liver diseases are dependent on the principal reason of the liver disease.This review article is to cover all the etiologies that have been identified to cause liver diseases with a special focus on pediatric acute liver failure.Methods: An extensive PubMed search was conducted and articles that were published after 2007 were included in this article.Results: The pediatric population etiology of liver diseases can be broadly categorized into infections, immunologic, metabolic, toxin or drug related,indeterminate, and diseases resulting in liver cirrhosis. Complications of pediatric liver diseases include malnutrition, infection, gastroesophagealvarices, and hepatic encephalopathy.Conclusion: Overall, the etiology for liver diseases in the pediatric population is many. Early identification of these factors can improve the qualityof life of the pediatric patient. With the correct diagnostic parameters and treatment certain conditions can be completely cured. As for those whoseeffective treatment is still lacking it is essential to continue the ongoing research until the missing pieces have been identified.Keywords: Pediatric population, Liver diseases, Acute liver failure, Etiology, Pediatric acute liver failure.

scholarly journals Asymmetrical Weakness Associated with Central Nervous System Involvement in a Patient with Guillain-Barrè Syndrome

2009 ◽  
Vol 2 ◽  
pp. CCRep.S3180 ◽  
Author(s):  
Takao Kiriyama ◽  
Makito Hirano ◽  
Susumu Kusunoki ◽  
Daiji Morita ◽  
Minako Hirakawa ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Campylobacter Jejuni ◽  
Central Nervous System Involvement ◽  
Signs And Symptoms ◽  
Accurate Diagnosis ◽  
Guillain Barre Syndrome ◽  
Cns Involvement ◽  
Guillain Barré Syndrome ◽  
Ganglioside Antibodies ◽  
Guillain Barré

Guillain-Barrè syndrome (GBS) is usually associated with symmetrical weakness, and therefore asymmetrical weakness may confuse diagnosis. We report on a patient with GBS subsequent to Campylobacter jejuni enteritis who had asymmetrical weakness with CNS involvement. The patient tested positive for anti-ganglioside antibodies, including anti-GM1 IgM, anti-GD1b IgG, and anti-GT1a IgG. Patients with GBS can manifest asymmetrical signs and symptoms attributable to CNS involvement. Prompt, accurate diagnosis and treatment of post- C. jejuni GBS is especially important because its prognosis is relatively poor.

scholarly journals Ewing's Sarcoma of the Cervical Spine

2017 ◽  
Vol 07 (02) ◽  
pp. 086-089
Author(s):  
Meenakshi Bhattacharjee ◽  
Winston Huh ◽  
Vandana Thapar ◽  
Paul Dahm
Keyword(s):  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Pediatric Population ◽  
Signs And Symptoms ◽  
Neck Mass ◽  
Neurological Deficits ◽  
Resonance Imaging ◽  
Neck Trauma ◽  
Motor Weakness ◽  
Posterior Neck

AbstractIn this article, we present the case of a 6-year-old female presented to the emergency department with progressive ascending motor weakness leading to cardiac arrest. The recent medical history included neck trauma 1 month prior to admission, 2 weeks of subjective fevers, and 1 day of urinary incontinence. After stabilization, and a review of the recent signs and symptoms, a magnetic resonance imaging of the neck revealed a posterior neck mass from C2 to T2. Neurosurgical removal of the mass was consistent with Ewing's sarcoma. Neck pain is a common presentation in the pediatric population, with the most common cause being traumatic. When coupled with neurological deficits, further studies are warranted to evaluate for organic causes.

Nodular fasciitis of the head and neck

2005 ◽  
Vol 119 (1) ◽  
pp. 8-11 ◽  
Author(s):  
P Silva ◽  
I A Bruce ◽  
T Malik ◽  
J Homer ◽  
S Banerjee
Keyword(s):  
Clinical Presentation ◽  
Benign Lesion ◽  
Clinical Suspicion ◽  
Deep Fascia ◽  
Nodular Fasciitis ◽  
Reactive Process ◽  
Aggressive Management ◽  
High Mitotic Activity ◽  
Microscopic Features

Nodular fasciitis is an unusual benign reactive process affecting superficial and deep fascia. Its rapid growth, rich cellularity, high mitotic activity and poorly circumscribed nature result in it being easily misdiagnosed as a sarcomatous lesion. Three cases of nodular fasciitis presenting as neck lumps are reported. They were successfully treated with local excision, with no signs of recurrence following two years of follow up. This paper describes the clinical presentation and microscopic features of this rare benign lesion and it emphasizes the need for accurate histopathology and clinical suspicion, if inappropriate aggressive management is to be avoided.

Reflux in Children and Its Effects on Assessment and Management of Voice Disorders From a Speech-Language Pathologist's Perspective

2011 ◽  
Vol 21 (3) ◽  
pp. 106-111
Author(s):  
Shannon M. Theis
Keyword(s):  
Gastroesophageal Reflux ◽  
Chronic Cough ◽  
Congenital Anomalies ◽  
Laryngopharyngeal Reflux ◽  
Pediatric Population ◽  
Voice Quality ◽  
Voice Disorders ◽  
Accurate Diagnosis ◽  
Treatment Techniques

Voice disorders in the pediatric population are common, but have been understudied. Inflammation, trauma, and neurologic and congenital anomalies all can result in childhood dysphonia. Laryngopharyngeal reflux, an extraesophageal variation of gastroesophageal reflux, has been associated with laryngeal symptoms of dysphonia, globus sensation, throat clearing, and chronic cough in children. This article reviews the current evaluation and treatment techniques of reflux and the effects of laryngopharyngeal reflux on voice quality in children. A case study illustrates the importance of treating laryngeal inflammation to achieve an accurate diagnosis.

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