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Massive subgaleal hematoma following minor head trauma
1Department of Emergency Medicine, University Hospital, State University of New York, Stony Brook 11794-7400.
The Journal of Emergency Medicine
|January 1, 1991
Summary
Massive head swelling in a child resulted from a subgaleal hematoma after minor head trauma. Prompt recognition and hemodynamic assessment are crucial for effective management of this rare complication.
Area of Science:
- Pediatrics
- Emergency Medicine
- Trauma Surgery
Background:
- Subgaleal hematomas are rare but can be a dramatic complication following minor head trauma in children.
- Accurate assessment of hemodynamic status is critical, especially in infants, to avoid misdiagnosis and ensure appropriate management.
Observation:
- A 23-month-old child presented with significant head swelling days after experiencing minor head trauma.
- The child was hemodynamically stable and otherwise well upon emergency department evaluation.
Findings:
- The subgaleal hematoma resolved spontaneously over two weeks without intervention.
- This case highlights the importance of recognizing subgaleal hematomas as a potential consequence of seemingly minor head injuries.
Implications:
- Physicians must be vigilant in identifying subgaleal hematomas in pediatric patients presenting with head swelling post-trauma.
- Effective management hinges on early recognition and careful monitoring of hemodynamic stability to prevent adverse outcomes.