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Large chronic cephalohematoma without calcification.

K S Firlik1, P D Adelson

  • 1Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Pediatric Neurosurgery
|April 15, 1999
PubMed
Summary
This summary is machine-generated.

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Persistent infant cephalohematomas may not calcify and can be treated with aspiration. This case study presents a successful non-surgical approach for a large, non-calcified cephalohematoma in a 3-month-old infant.

Area of Science:

  • Pediatrics
  • Neonatal Care
  • Surgical Pathology

Background:

  • Cephalohematomas are common birth injuries that usually resolve within one month.
  • Prolonged cephalohematomas often undergo calcification, potentially requiring surgical intervention.
  • This case examines a rare instance of a persistent, non-calcified cephalohematoma.

Observation:

  • A 3-month-old infant presented with a large, persistent cephalohematoma.
  • Initial observation showed no reduction in hematoma size.
  • The cephalohematoma did not exhibit signs of calcification.

Findings:

  • Aspiration of 30 cm3 of blood was performed, followed by head wrapping.
  • The non-calcified cephalohematoma responded successfully to aspiration.

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  • Open surgical intervention was not required, distinguishing it from typical calcified cases.

    • Implications:

    • This case suggests aspiration as a viable treatment for non-calcified, persistent cephalohematomas.
    • It highlights a less invasive management strategy compared to surgery for calcified lesions.
    • A treatment protocol for such cases is proposed, offering a new clinical guideline.