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[An unrecognized neonatal emergency: extensive hematoma of the scalp. 5 cases]
C Broux1, P Andrini, S Douchin
1Service de Médecine néonatale et Réanimation infantile, Centre Hospitalier Universitaire de Grenoble.
Background:
Subgaleal hemorrhage results from a pericranial effusion of blood subsequent to neonatal trauma. This exceptional situation compared with other pericranial effusion conditions in the neonate may be life-threatening.
Case Reports:
We report the obstetrical and neonatal data in 5 cases of subgaleal hemorrhage observed in our unit over an 8-year 8-month period. We detail one particularly demonstrative case which illustrates the potentially serious course of certain clinical presentations.
Discussion:
Subgaleal hemorrhage is a clinical diagnosis. Signs of hemorrhagic shock are associated with hemostasis disorders in the more severe forms of the condition. The main risk factor is instrumental delivery with suction. Careful monitoring is required.