[A sixty-eight-year-old man with giant intracranial arteriovenous malformation and right-sided hemicrania -- a case report]. / Olbrzymi naczyniak tetniczo-zylny mózgu u 68-letniego mezczyzny z migrenowymi bólami glowy -- opis przypadku.

Arteriovenous malformations (AVMs) are the most dangerous congenital vascular malformations. Intracranial AVMs occur in about 0.1 percent of the population and account for 1 to 2 percent of all strokes. The angioarchitecture of AVMs consists of direct arterial to venous connections without an intervening capillary network. The main symptom reported by half of all patients with arteriovenous malformations is an episodic headache. The headache is associated with nausea and vomiting and due to this resembles the hemicrania or cluster headache attacks. Although cerebral angiography is considered as the gold standard for the diagnosis, planned treatment and after treatment observation, AVMs are usually identified with advanced visual imaging techniques such as magnetic resonance imaging, computed tomography, and computed angiotomography. The treatment options consist of surgery, radiosurgery and endovascular embolization. We report a case of a 68-year-old man with giant intracranial arteriovenous malformation and right-sided hemicrania.

[Cranial fascitis--case report and literature review]. / Zapalenie powi zi czaszkowej--opis przypadku i przeglad pismiennictwa.

Cranial fascitis is a rare disease that is considered as a subset of nodular fascitis. Lauer and Enzinger described the disease for the first time in 1980 as a cranial fascitis of childhood (CFC), based on pathologic findings in nine cases of children from three weeks to six year old. The disease is benign proliferation of immature fibroblasts infiltrating the cranial bones with tendency to form tumor like shapes. Surgery excision gives total cure and recurrence is very rare. We present the case of a twenty years old male patient with head trauma in medical history and two years history of recurrent forehead headache. Performed cerebral computerized tomography and skeleton scintigraphy showed erosion of the lateral parts of both frontal skull bones and upper-lateral parts of the right and left orbital cavity. In general anesthesia, biopsy specimen was taken. After histopathological examination the diagnosis of cranial fascitis was established. Eight months after the diagnosis we observed progression of the skull bones destruction. Therefore our recommended treatment was surgical excision but we did not obtain patient agreement.