A Case of Non-Traumatic Subgaleal Hematoma Effectively Treated with Endovascular Surgery

Abstract

<jats:p> Non-traumatic subgaleal hematoma is very rare. We present a case of refractory non-traumatic subgaleal hematoma occurring in a 15-year-old male patient. The patient was successfully treated by embolization of the superficial temporal artery. This therapeutic approach to refractory non-traumatic subgaleal hematoma is discussed. </jats:p>

Spontaneous subgaleal hematoma in a patient with sickle cell disease: A case report and literature review

“…Subgaleal hematoma, defined as collection of blood below the galea aponeurotica layer, can be classified into traumatic and non‐traumatic according to its mechanism. Traumatic subgaleal hematoma can be caused by minor head trauma such as hair pulling, whereas non‐traumatic cases occur because of coagulopathies or rupture of superficial temporal artery aneurysms or arterio‐venous fistulas …”

“…Subgaleal hematoma usually resolves spontaneously with conservative management. However, it may necessitate surgical evacuation if it persists …”

Massive hemopericranium following trivial trauma in a child with hypofibrinogenemia: A case report and review of the literature

“…[8] Nontraumatic subgaleal hematoma, although very rare, is sometimes associated with aneurysms of the superficial temporal artery, scalp arteriovenous fistula, and coagulation disorders. [9] It often resolves spontaneously or with conservative treatment using a compression bandage and coagulopathy correction. However, aspiration or surgery may be mandatory in case of failure of conservative treatment.…”

Massive traumatic subgaleal haematoma

“…If conservative treatment fails, aspiration, surgery or even endovascular surgery can be effective 1. Our patient was treated with compression bandage and the subgaleal haematoma resolved within a few weeks.…”