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Cephalohematoma, MedPix™ : 9004 - Medical Image Database and Atlas
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Location and Category

Location:
More Like This ? Brain and Neuro
Sublocation:
More Like This ? Skull
Category:
More Like This ? Trauma
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More Like This ? Cephalohematoma
Topic 9004 - Created: 2008-11-29 19:22:50-05 - Modified: 2009-04-19 10:28:53.457336-04
ACR Index: 1.4

Cephalohematoma -- A subperiosteal hemorrhage, similar to an epidural hematoma, but on the opposite side of the calvarium. Similarly, this hemorrhage is contained by the sutures. CEphalohematomas occur in up to 1% of deliveries, but the incidence greatly increase with the use of forceps during delivery. These hemorrhages may calcify/ossify, which may lead to the so-called, \"Double Skull Sign.\"

This is compared to the other two common forms of birth trauma:

Caput Succedaneum - Edema and hemorrhage within the skin, frequently occurring after vaginal deliveries. The edema is superficial, compressible, and will resolve within the first few days of life. This edema will cross the sutures, as it is within the superficial soft tissues.

Subgaleal Hemorrhage -- This hemorrhage resides adjacent to the calvarial aponeurosis below the occipito-frontalis muscles. This lesion is firm and fluctuant, and may increase in size in the first few days of life. Eventually, it will resolve over a few weeks. Rarely will the newborn become symptomatic from the blood loss.

Contributor Credits

Topic Submitted by: Jason W. Schroeder - Author Info
Affiliation: Civilian Medical Center
Topic approved by: James G. Smirniotopoulos, M.D. - Editor Info
Affiliation: Uniformed Services University

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