A Novel Management for Calcifying Cephalohematoma

Petersen, J. Dayne; Becker, Devra B.; Fundakowski, Christopher; Marsh, Jeffrey L.; Kane, Alex A.

doi:10.1097/01.prs.0000112761.49009.49

Cited by 19 publications

(12 citation statements)

References 23 publications

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“…A calcified hematoma may still get absorbed slowly and most often disappears over 3–6 months [21]. Delayed and persistent calcification may still be an indication for surgical excision [17,22,23,24]. Rarely, ossification is seen in a cephalhematoma [19].…”

Section: Discussionmentioning

confidence: 99%

Ossified Cephalhematoma

Gupta¹,

Mathew²,

Malik³

et al. 2007

Pediatr Neurosurg

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Ossified cephalhematoma is a rare clinical entity and a pathological curiosity. Even though cephalhematoma is frequently encountered, ossified cephalhematoma is seen only sporadically and is restricted to only few case reports in the literature. Its pathogenesis is unclear, and the clinical course is different in neonates and juveniles. The risk factors are known, but why it gets ossified in some cases is not understood. We report a case of ossified cephalhematoma which developed in a 10-week-old male child in the right parietal region and discuss its possible pathogenesis.

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Section: Discussionmentioning

confidence: 99%

Ossified Cephalhematoma

Gupta¹,

Mathew²,

Malik³

et al. 2007

Pediatr Neurosurg

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“…have advocated a “passive cranial molding helmet therapy” though others have expressed concerns that this might convert a Type 1 into a Type 2 variant. [29] A technique of simple excision and periosteal reattachment has also been described. [7]…”

Section: Discussionmentioning

confidence: 99%

Ossified cephalhematoma: An unusual cause of calvarial mass in infancy

2017

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Cephalhematomas occurring in newborn usually resolve within a month. Rarely, they tend to ossify and present as hard scalp swelling. Unless one is aware of this possibility, this condition may be misinterpreted as bony tumor and cause needless apprehension to parents as well as the treating physician. A suspicion that ossified cephalhematoma (OC) could present in such a manner supported by careful history taking and relevant imaging (X-ray/computed tomography) would help in appropriate evaluation of this benign condition. The management of OC is controversial. Occasionally, they undergo spontaneous remodeling. Those with secondary craniosynostosis and/or disfigurement are treated surgically. Simple ossified lesions with no significant cosmetic issues may be conservatively tackled. We report such a case in a 3-month-old child. The other management options are briefly discussed.

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“…If the thickness and convexity of the inner lamella is satisfactory, the flip-over bull's-eye technique is an excellent reconstructive option where the elevated, deformed outer lamella is discarded and the depressed inner lamella is cut around its edges, reversed (flipped-over) and plated onto the non-affected area of the calvarium, giving an impression of a ''bull's-eye.''. The cap radial craniectomy technique can be used with excellent result in cases that do not fulfill these criteria [15,16].…”

Section: Discussionmentioning

confidence: 99%

Large calcified cephalohematoma- A case report

Sarkar¹,

Dey²,

Mazumder³

et al. 2017

Clin Res Trial

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This report describes a case of an infant of 5 months presenting with cephalohematoma since birth which was initially soft but later became hard and calcified after two months with the history of aspiration at one and half month of age. Surgical intervention using discard of the inner lamella and the cap radial craniectomy technique was used. The patient recovered uneventfully thereby. This report describes an infant presenting with a large calcified cephalohematoma leading to the surgical intervention using cap radial craniectomy. While the exact incidence is not known, large calcified cephalohematoma is rarely reported in the literature. We discuss here thoroughly the anatomy, classification, pathogenesis and different reconstructive surgeries of calcified cephalohematoma.

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A Novel Management for Calcifying Cephalohematoma

Cited by 19 publications

References 23 publications

Ossified Cephalhematoma

Ossified Cephalhematoma

Ossified cephalhematoma: An unusual cause of calvarial mass in infancy

Large calcified cephalohematoma- A case report

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