Head injuries after instrumental vaginal deliveries

Doumouchtsis, Stergios K.; Arulkumaran, Sabaratnam

doi:10.1097/01.gco.0000192983.76976.68

Cited by 85 publications

(58 citation statements)

References 44 publications

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“…Mortality rates between 2.7 and 25% have been reported. 3,4,6,9,15,16 There is a single case report of a school-aged child with intractable epilepsy, frequent falls, and a calcified subgaleal hematoma, 19 but ossification of a subgaleal hematoma has not been described in infancy.…”

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confidence: 99%

Sagittal synostosis and ossified scalp hematoma: cause or consequence?

Piatt¹

2010

PED

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In this paper, the author presents 2 cases of sagittal synostosis with scaphocephaly that featured ossified scalp hematomas straddling the sagittal suture in the midparietal region. These ossified lesions were originally cephalohematomas. Collection of blood under the pericranium across the midline was possible in these cases because sagittal synostosis had obliterated the sagittal suture and its dense attachment to overlying periosteum. Scaphocephaly very likely exacerbated the difficulty of the deliveries and contributed to the causation of the scalp hemorrhages. The alternative hypothesis, that ossification of a scalp hematoma immobilized the suture and caused synostosis, is not tenable for reasons that are reviewed. Sagittal synostosis in these 2 instances was not a complication of birth trauma.

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confidence: 99%

Sagittal synostosis and ossified scalp hematoma: cause or consequence?

Piatt¹

2010

PED

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“…The frequency of neonatal cephalhematomas is reported to be 0.2% to 2.5% of life births [16,27] or even higher, as for instance following vacuum extraction with a mean incidence of 6% [6], and depends for the most part on the composition of the evaluated women and newborns as well Findings of ossified cephalhematoma and head measures at surgery (n=4) a In case 4, cavity (ies) were not visible by the naked eye but were seen histologically Fig. 3 Case 1 at age 2.5 months.…”

Section: Discussionmentioning

confidence: 99%

“…In the recent Anglo-American literature, the occurrence of ossified cephalhematoma is quoted as occasional, rare, or unknown and restricted to few case reports [4,6,12]. Already in the seventies and much earlier, it has been claimed by some that a persistent osseous prominence is an extremely rare sequel of cephalhematoma because there is even, in case of fully established ossified cephalhematoma, a slow resolution of the mass which merges over months into the general contour of the growing calvaria [22,31].…”

Section: Discussionmentioning

confidence: 99%

Sagittal craniosynostosis combined with ossified cephalhematoma—a tricky and demanding puzzle

Kaiser

Oesch

2008

Childs Nerv Syst

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Introduction Four cases of sagittal synostosis combined with ossified cephalhematoma prompted the authors to present the data and to discuss the implications. Large cephalhematoma of the vertex at birth with subsequent ossification occurred in all with final sizes of 6.5-10 by 4.0-5.5 by 0.8-1.8 cm. At surgery with 2-6 months, the mean skull index was 64.75, sagittal suture completely closed, and a disfiguring bony mass present in all. Discussion In three of the original cohort of 106 sagittal synostoses, ossified cephalhematoma was removed in one piece together with the suture. In contrast to pathogenesis of common parietal cephalhematomas, cephalhematoma in sagittal synostosis is rather induced by periosteal detachment of the midline by strong shearing forces because molding is hindered in the lateral direction. Frequent and fast complete ossification is possibly directed by the same local factors (e.g., Noggin) which lead to premature fusion of cranial sutures. Some treatment principles of ossified cephalhematoma in sagittal synostosis may be applied to surgery of common types.

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“…Extracranial injuries most commonly include scalp abrasions and lacerations, caput succedaneum, cephalohematoma and subgaleal hemorrhage. Cranial injuries most commonly include linear or depressed skull fractures (3). These types of injuries have been more often associated with instrument-assisted (forceps) deliveries than with spontaneous deliveries (4).…”

Section: Un Pseudolipome Post-traumatique Du Frontmentioning

confidence: 99%

Post-traumatic pseudolipoma of the forehead

Horovitz¹,

Matic²

2007

Canadian Journal of Plastic Surgery

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A forehead lipoma is a rare finding in a child, and one that penetrates the underlying layers of muscle and bone to attach to dura has not previously been reported. Two such cases, both in children who underwent uneventful deliveries aided by forceps, are presented. Both lesions were present at birth and, based on clinical findings, were originally thought to be dermoid cysts. Dermoid cysts could not be ruled out with computed tomography and magnetic resonance imaging. Histopathology identified fibrofatty tissue consistent with lipoma. Both lesions extended from the subcutaneous tissue through the frontalis muscle and frontal bone to the dura. Given these findings and the history of forceps delivery, the most likely diagnosis is posttraumatic pseudolipoma. This lesion should be considered in the differential diagnosis of congenital lesions of the forehead, particularly if there is a history of forceps delivery or other trauma to the area.

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Head injuries after instrumental vaginal deliveries

Cited by 85 publications

References 44 publications

Sagittal synostosis and ossified scalp hematoma: cause or consequence?

Sagittal synostosis and ossified scalp hematoma: cause or consequence?

Sagittal craniosynostosis combined with ossified cephalhematoma—a tricky and demanding puzzle

Post-traumatic pseudolipoma of the forehead

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