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MRI features of an infected cephalhaematoma in a neonate

Ming-Hong Chen1, Jiao-Chiao Yang, Jin-Shan Huang

  • 1Institute of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|August 26, 2006
PubMed

Insights

Infection of cephalhaematoma in neonates is rare. Magnetic resonance imaging (MRI) aids in diagnosing infected cephalhaematoma, enabling early surgical intervention to prevent complications like osteomyelitis.

Area of Science:

  • Neonatal Medicine
  • Pediatric Radiology
  • Infectious Diseases

Background:

  • Cephalhaematoma, a subperiosteal blood collection, can become infected, though rarely.
  • Clinical diagnosis of infected cephalhaematoma is challenging due to subtle local infection signs.
  • The utility of imaging in distinguishing infected from non-infected cephalhaematoma remains unclear.

Observation:

  • This report details magnetic resonance imaging (MRI) findings in a 23-day-old neonate with infected cephalhaematoma.
  • MRI revealed a subperiosteal blood accumulation beneath a thickened, contrast-enhancing periosteum.
  • The neonate presented with clinical signs suggestive of infection.

Findings:

  • MRI findings were crucial in diagnosing infected cephalhaematoma.
  • The characteristic MRI appearance of a thickened, enhancing periosteum over a subperiosteal hematoma confirmed infection.
  • Diagnostic needle aspiration was not performed prior to surgical intervention.

Implications:

  • Early diagnosis and intervention for infected cephalhaematoma are critical.
  • MRI can be a valuable tool in diagnosing infected cephalhaematoma, guiding timely surgical management.
  • Prompt surgical intervention, such as incision and drainage, can prevent severe complications like osteomyelitis.

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