Surgical Treatment for Scaphocephaly and a Calcified Cephalohematoma

Kortesis, Bill G.; Pyle, Jeremy W.; Sanger, Claire; Knowles, Martyn; Glazier, Steven S.; David, Lisa R.

doi:10.1097/scs.0b013e31819b9627

Cited by 12 publications

(4 citation statements)

References 18 publications

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“…Currarino 5 supported this interpretation. The case reported by Kortesis et al 10 is not relevant in so much as the ossified cephalohematoma was off the midline and did not cross the sagittal suture. Observations from the 2 cases presented here support the conclusion that sagittal synostosis has a causal relationship with development of a midline hematoma and not vice versa.…”

mentioning

confidence: 92%

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: 92%

Sagittal synostosis and ossified scalp hematoma: cause or consequence?

Piatt¹

2010

PED

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“…Over time, the bulge may feel harder as the collected blood calcifies. If that hematoma had not been treated, albeit rarely, large calcified cephalohematomas would need surgical treatment with a certain probability [10][11]. Thus, appropriate treatment methods are desired.…”

Section: Discussionmentioning

confidence: 99%

Calvarium Subperiosteal Hematoma in a 12-Year-Old Boy

Yoneoka¹,

Seki²,

Akiyama³

2021

Cureus

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Calvarium subperiosteal hematoma (C-SPOH) is extremely rare in juveniles. We present an extremely rare case of juvenile C-SPOH and a review of the literature. A 12-year-old boy hit his head hard against another player's head during a soccer game. On the next day of the game (Day 02), he noticed a soft bump on the left parietal region. On Day 04, he saw a local physician and was diagnosed with a subgaleal hematoma. The hematoma grew larger, up to twice the size of that on Day 04 and it became more painful over the next five days. A CT scan on Day 10 showed a subcutaneous hematoma that did not cross the suture lines. Aspiration using a syringe with an 18-gauge needle obtained about 45 mL liquefied hematoma and caused the bump collapse with relief of the pain. On Day 12, however, he presented the same bump with similar pains as on Day 10. CT angiography revealed no vascular anomalies or disruptions. A blood sampling test demonstrated normal blood coagulation ability without thrombocytopenia or malnutrition. A second aspiration obtained 45 mL liquefied hematoma. In the second procedure, the hematoma cavity was irrigated with normal saline solution (about 5 mL x 4). He took 250 mg tranexamic acid three times a day and 5 mg prednisolone three times a day for four days. On Day 15, his C-SPOH was not tense and not painful. On Day 22, the periosteal hematoma remained soft and shrunk. A follow-up CT scan showed the complete disappearance of the subperiosteal hematoma on Day 57. The boy has returned to soccer-playing activity without sequelae. This case suggests that 1) C-SPOH can be found in healthy juveniles; 2) Neovascularization along the wall of the C-SPOH cavity may contribute to the formation of the C-SPOH; 3) A simple aspiration of the liquefied SPOH may fail to cure it in juveniles.

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“…3 Other indications may be the prevention of brain growth restriction, and diagnostic confirmation and treatment of associated craniosynostosis. 11,13,15,16 Surgery is performed according to the features of the CC. Type I CC is treated by drilling of the outer lamella, whereas Type 2 is treated by craniotomy and cranioplasty.…”

Section: Discussionmentioning

confidence: 99%

“…29 However, sagittal synostosis secondary to cephalohematoma has been described. 11,15,16 We report the case of an 11-year-old girl with a CC that caused late-onset cerebral electrical anomalies. To the best of our knowledge, this complication was not been described to date in the literature.…”

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confidence: 99%

Calcified cephalohematoma as an unusual cause of EEG anomalies: case report

Vigo¹,

Battaglia

Frassanito³

et al. 2017

PED

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Cephalohematoma, one of the most common neonatal head injuries, generally undergoes spontaneous resorption. When calcified, it may cause cranial vault distortion and depression of the inner skull layer, although it remains asymptomatic. Surgery, indeed, is usually performed for cosmetic purposes. For these reasons, the long-term effects of calcified cephalohematoma (CC) are widely unknown. The authors report the case of an 11-year-old girl with a persistent calcified CC causing skull deformity and delayed electroencephalography (EEG) anomalies. These anomalies were detected during routine control EEG and were not clinically evident. The young girl underwent surgical removal of the CC for cosmetic purpose. The EEG abnormalities disappeared after surgery, thus reinforcing the hypothesis of a correlation with the brain “compression” resulting from the CC. To the best of the authors' knowledge this is the first time that CC-associated EEG anomalies have been described: even though these anomalies cannot be considered an indication for surgery, they merit late follow-up in case of skull deformity.

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Surgical Treatment for Scaphocephaly and a Calcified Cephalohematoma

Cited by 12 publications

References 18 publications

Sagittal synostosis and ossified scalp hematoma: cause or consequence?

Sagittal synostosis and ossified scalp hematoma: cause or consequence?

Calvarium Subperiosteal Hematoma in a 12-Year-Old Boy

Calcified cephalohematoma as an unusual cause of EEG anomalies: case report

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