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Virtual Pediatric Hospital: Paediapaedia: Cephalohematoma Paediapaedia: Neurological Diseases

Cephalohematoma

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
Soft unilateral or bilateral fluctuant scalp mass usually located over the mid or posterior parietal regions.

Etiology/Pathophysiology:
Common sequelae of birth trauma, frequently associated with forceps delivery. Is a subperiosteal calvarial hemorrhage and therefore the bleeding is limited by suture lines. Heals via progressive resorption over several months, and is treated via observation.

Pathology:
Not applicable

Imaging Findings:
Usually seen over the parietal regions and underlying fractures are rare. Peripheral calcification of the hematoma is seen by 10-14 days and eventually the entire hematoma is outlined by calcification. Resolution takes several months and there is often some degree of remnant calvarial thickening.

DDX:
Obstetrical Scalp Injuries

References:
See References Chapter.

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