Posttraumatic subgaleal and orbital hematoma due to factor XIII deficiency

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Manikandan S Natarajan1, Krishna Prabhu, Andrew Braganza

  • 1Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Journal of Neurosurgery. Pediatrics
|February 3, 2011
PubMed

Insights

A pediatric case of subgaleal hematoma and proptosis after head injury was successfully treated with drainage and transfusion. The patient also experienced a temporary factor XIII deficiency.

Area of Science:

  • Pediatric Neurosurgery
  • Hematology

Background:

  • Subgaleal hematomas can occur following head trauma in children.
  • Proptosis, or bulging of the eye, can be a rare complication of head injuries.

Observation:

  • A 6-year-old boy presented with a tense subgaleal hematoma and proptosis two weeks post-head injury.
  • The patient exhibited a transient, mild factor XIII deficiency during evaluation.

Findings:

  • Successful management of subgaleal hematoma and proptosis was achieved through continuous closed-system drainage and blood transfusion.
  • Factor XIII deficiency, though transient, was identified as a potential contributing factor.

Implications:

  • This case highlights the importance of considering coagulopathies, such as factor XIII deficiency, in pediatric head trauma.
  • Effective management strategies for subgaleal hematoma and proptosis include surgical drainage and blood support.
  • Prompt diagnosis and treatment are crucial for favorable outcomes in pediatric patients with complex head injury complications.

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