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Ossified Encapsulated Cephalhematoma
Sarut Chaisrisawadisuk1,2, Hung Bing Tiong3, Jill Lipsett3,4
1Australian Craniofacial Unit.
Insights
Ossified cephalhematoma, a rare condition, can occur if newborn cephalhematoma isn't treated. This case highlights an 8-month-old infant with an ossified cephalhematoma, detailing its surgical removal and pathological findings.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Neurosurgery
Background:
- Ossified cephalhematoma is a rare sequela of neonatal cephalhematoma.
- It presents as a calcified subperiosteal collection, often requiring intervention.
Observation:
- An 8-month-old infant presented with a right parieto-occipital ossified cephalhematoma.
- Pre-operative imaging confirmed a calcified subperiosteal hematoma.
Findings:
- Surgical excision of the hematoma and bone contouring were performed.
- Histopathology revealed hemosiderin-laden macrophages, blood, and pseudocyst walls.
Implications:
- This case contributes to understanding the pathogenesis of ossified cephalhematoma.
- It underscores the importance of timely management and surgical options for this rare condition.
Abstract:
Ossified cephalhematoma is a rare congenital condition that may be found if newborn cephalhematoma is not resolved. Here, however, the authors report an exceptional case of an 8-month-old baby presenting with an ossified cephalhematoma in the right parieto-occipital area. Pre-operative imaging showed a calcified subperiosteal hematoma. He underwent hematoma excision with bone contouring procedures. A histopathological study showed hemosiderin-laden macrophages with blood and pseudocyst walls. The authors also discuss the possible pathogenesis of the ossified cephalhematoma and its treatment.
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