Abstract
Cephalohematomas in newborns are often managed nonsurgically and resolve within the first month of life. In cases of large hematomas (>7 cm) with delayed resorption and persistence over 4 weeks, these masses can often lead to complications of calcification, infection, or hyperbilirubinemia. We report a case of a 14-day-old child with a persistent, large, noncalcified cephalohematoma. After observation alone showed that the cephalohematoma increased in size, 100 ml of old blood was surgically evacuated on day 15 of life. The procedure required a small 1-cm incision and, unlike most large cephalohematomas evacuated after 1 month of observation, there were no signs of skull-deforming calcification observed. This case report presents the earliest evacuation of large noncalcified cephalohematomas in newborns ever reported in the literature, and suggests benefits of early surgical evacuation before 1 month of life.
Original language | English (US) |
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Pages (from-to) | 210-213 |
Number of pages | 4 |
Journal | Pediatric Neurosurgery |
Volume | 51 |
Issue number | 4 |
DOIs | |
State | Published - May 1 2016 |
Keywords
- Cephalohematoma
- Plagiocephaly
- Surgical evacuation
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery
- Clinical Neurology