Spontaneous resolution of calcified cephalhematomas of infancy: report of two cases

Cephalhematoma (CH) is less commonly encountered problem of infancy with an incidence of 1 % however calcified CHs are seldom. The exact reason of calcification remains unclear. We report two cases of calcified CHs that developed as a complication of vacuum extraction during vaginal delivery. Calcified CHs generally present with cosmetic reasons like skull asymmetry and calvarial mass. Although Doppler ultrasonography is useful in the diagnosis of CHs, computerized tomography or direct X-rays help more in the detection of calcified ones. Follow-up should be considered for cases below 2 years of age since the cranium continues to grow and there appears to be a chance of spontaneous resolution. Surgical intervention should be reserved for cases with neurological deficits or persistent lesions on follow-up.