Intravascular fasciitis of the scalp as a complication of ICP monitor placement: a case report and review of the literature

Cyril S. Tankam, Mason T. Stoltzfus, Yaw Tachie-Baffour, Julie C. Fanburg-Smith, Elias B. Rizk

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Background/Importance: There are only 56 documented cases of intravascular fasciitis, a rare variant of nodular fasciitis. Of these cases, only 2 involved the scalp. This lesion is amenable to surgical resection, making it important to differentiate it from soft tissue malignancies of the scalp. Clinical presentation: We report an unusual case of intravascular fasciitis involving the scalp at the site of an intracranial pressure (ICP) monitor of a 13-year-old male patient. The lesion was surgically excised with no recurrence upon 1-month follow-up. Conclusion: Intravascular fasciitis is a benign, reactive proliferation of soft tissue that may arise at sites of prior trauma. It appears as a soft, painless, mobile lesion, and immunohistochemical studies are required to differentiate it from malignant lesions. The standard of care is surgical resection of the lesion.

Original languageEnglish (US)
Pages (from-to)3617-3620
Number of pages4
JournalChild's Nervous System
Issue number12
StatePublished - Dec 2023

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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