Sub-aponeurotic Fluid Collections in Infancy

Hopkins, Richard; Inward, Carol; Chambers, T L; Grier, D.

doi:10.1053/crad.2001.0727

Cited by 26 publications

(61 citation statements)

References 8 publications

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“…Evaluation of the severity of bleeding can be measured by frequent blood pressure monitoring, complete blood counts, platelet counts, and coagulation studies (18). Although not essential for diagnosis ultrasound (49), computed tomography or magnetic resonance imaging (6,50) can be used for the accurate diagnosis of this condition. Appropriate resuscitation, intensive care management, and adequate quantities of blood and blood products are urgently required to maintain circulation in babies with subgaleal hemorrhage.…”

Section: Managementmentioning

confidence: 99%

“…The incidence was much more for vacuum extraction than any other mode of delivery (41.4 per 1000 livebirths vs. 1.0 per 1000 livebirths) (5). Other authors have also noted that the most important causative factor for subgaleal hemorrhage is attempted delivery with the vacuum extractor (6,7). Ng et al estimated that the risk of subgaleal bleeding was 60 times more likely with a vacuum extractor than with other modes of childbirth (8).…”

mentioning

confidence: 99%

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Neonatal Subgaleal Hemorrhage and Its Relationship to Delivery by Vacuum Extraction

Uchil¹,

Arulkumaran²

2003

Obstetrical & Gynecological Survey

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Subgaleal hemorrhage is a rare condition of the neonate often associated with instrumental delivery. It is a potentially fatal condition that is often underreported and underdiagnosed. The vacuum extractor is being advocated as the instrument of first choice for assisted vaginal delivery, but appears to be associated with an increased incidence of subgaleal hemorrhage. It is widely believed that the vacuum cup will dislodge before causing serious fetal trauma. Because of the ease of application, vacuum extractors could be used potentially in circumstances in which forceps would not be attempted, allowing an operator of average experience to perform rotational deliveries. The worrisome increase in the incidence of subgaleal hemorrhage associated with vacuum extraction leads to the issuance of warnings from governmental authorities in Canada and the United States. This review discusses the anatomy of this lesion, etiology, clinical presentation, management, and possible prevention.

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Section: Managementmentioning

confidence: 99%

mentioning

confidence: 99%

Neonatal Subgaleal Hemorrhage and Its Relationship to Delivery by Vacuum Extraction

Uchil¹,

Arulkumaran²

2003

Obstetrical & Gynecological Survey

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“…Various labor and delivery practices have been implicated as possible causative agents, including the use of assistive measures such as vacuum 20 and/or scalp electrodes. 24 Vaibhav et al 21 summarized the delivery characteristics of the extant cases in the literature: instrument assistance was used in 10 of 15 cases, and vacuum assistance in 9 of the 15 cases.…”

Section: Discussionmentioning

confidence: 99%

“…These authors acknowledged that the "etiology has remained uncertain" but noted that analysis of fluid aspirated from these collections suggested leakage of cerebrospinal fluid. In a series of 6 infants, Hopkins et al 20 noted that 4 of 6 patients had vacuum-assisted delivery. These patients presented with "nontender, soft, mobile and fluctuant scalp swellings," all of which resolved within 24 weeks, with "no long-term sequelae."…”

mentioning

confidence: 99%

Experiences of Parents Caring for Infants with Rare Scalp Mass as Identified through a Disease-Specific Blog

Worthen

Leonard²,

Blair³

et al. 2015

The Journal of the American Board of Family Medicine

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Background: Delayed subaponeurotic fluid collection (DSFC) is a self-limited disorder of unknown etiology characterized by a benign, fluid-filled mass in the subaponeurotic layer of an infant's scalp. While a few case series describe DSFC, the experiences of families whose infants develop this condition have not previously been reported.Methods: We used a disease-specific blog to evaluate the experiences of 69 families affected by DSFC. We identified self-reported clinical features of DSFC and qualitatively analyzed the families' experiences with obtaining a diagnosis and care for their infants.Results: Infants presented in several clinical settings, and multiple diagnostic procedures were administered, including ultrasound (46%), computed tomography (30%), and head radiography (22%). Qualitative themes emerged: lack of provider awareness of DSFC, concern about potentially harmful diagnostic procedures, suspicion of child abuse, and the importance of the website in providing support to families.Conclusions: Though DSFC can be diagnosed clinically and its natural history is benign, its presence can be emotionally draining for parents. Physicians should be aware of this clinical entity to rapidly allay parental distress and avoid unnecessary procedures. Disease-specific blogs can help providers learn about rare diseases, contain useful clinical information for research, and can benefit patient care by providing social support for families. (J Am Board Fam Med 2015;28:750 -758.)

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“…Haemorrhage can occur into this space during delivery or fluid may accumulate later within disrupted tissue planes. In fact, presentation with scalp swelling due to sub-aponeurotic fluid collection can occur as late as 18 weeks after delivery 8. Sub-aponeurotic haemorrhage is more frequent following vacuum extraction but may arise spontaneously or after minor trauma 9.…”

Section: Birth-related Scalp Swellingsmentioning

confidence: 99%

Lumps, bumps and funny shaped heads

Williams

2008

Archives of Disease in Childhood - Education and Practice

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Sub-aponeurotic Fluid Collections in Infancy

Cited by 26 publications

References 8 publications

Neonatal Subgaleal Hemorrhage and Its Relationship to Delivery by Vacuum Extraction

Neonatal Subgaleal Hemorrhage and Its Relationship to Delivery by Vacuum Extraction

Experiences of Parents Caring for Infants with Rare Scalp Mass as Identified through a Disease-Specific Blog

Lumps, bumps and funny shaped heads

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