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Rarely Seen Intradiploic Skull Hematoma in Infants
1Medical School, Department of Neurosurgery, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
Insights
Intradiploic hematoma (IH) is a rare condition causing skull deformities in infants. Early surgical intervention is recommended for optimal outcomes in these rare pediatric cases.
Area of Science:
- Pediatric Neurosurgery
- Radiology
- Neonatal Medicine
Background:
- Intradiploic hematoma (IH) is a rare condition, with only 7 infant cases reported since 1934.
- IH can present as a skull deformity in infants, necessitating inclusion in differential diagnoses.
- The etiology of IH in infants can be complex, occurring even without birth trauma or bleeding disorders.
Purpose of the Study:
- To present two surgically treated cases of intradiploic hematoma in infants.
- To highlight the diagnostic and therapeutic approaches for infant IH.
- To emphasize the importance of early surgical planning for skull deformities caused by IH.
Main Methods:
- Surgical treatment of two infant cases with intradiploic hematoma.
- Diagnostic imaging utilizing both computed tomography (CT) and magnetic resonance imaging (MRI).
- Review of existing literature on infant intradiploic hematoma.
Main Results:
- Two infant cases of intradiploic hematoma were successfully treated surgically.
- The cases presented without history of birth trauma or bleeding disorders.
- Imaging modalities like CT and MRI were crucial for diagnosis and treatment planning.
Conclusions:
- Intradiploic hematoma should be considered in the differential diagnosis of infant skull deformities.
- Combined use of CT and MRI is essential for accurate diagnosis and treatment.
- Early surgical intervention for skull deformities resulting from IH in infants is advocated.
Abstract:
Although the first intradiploic hematoma (IH) case was reported in 1934, only 7 infant cases were reported in the literature. The authors present 2 IH cases, without birth trauma or bleeding disorder, which were treated surgically. IH is also included in the differential diagnosis of babies with a skull deformity. Computed tomography and magnetic resonance imaging modalities should be used together in diagnosis and treatment. The authors believe that the surgery to treat skull deformity because of IH in babies should be planned in the early period.
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