Large chronic cephalohematoma without calcification.
Cephalohematomas following birth normally resorb within the 1st month of life. In cases of prolonged resorption, over greater than 1 month, cephalohematomas typically begin to calcify. We report the case of a 3-month-old child with a persistent, large cephalohematoma that did not calcify. After observation alone failed to demonstrate a decrease in the size of the hematoma, 30 cm3 of old blood was aspirated, and the patient's head was wrapped. Unlike calcified cephalohematomas, this noncalcified lesion did not require open surgical intervention. A treatment protocol for cephalohematomas is presented.
Firlik
K S
KS
Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Adelson
P D
PD
D001720:Birth Injuries; D002114:Calcinosis / Q000000981:diagnostic imaging*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000601:surgery; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D015601:Injury Severity Score; D010296:Parietal Lobe / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed