A calcified cephalohematoma in a 1-month-old infant requiring surgery

Our case involves the clinical course of a healthy male infant who developed a calcified cephalohematoma despite no history of birth trauma or the use of assistive delivery instruments. Another unique feature of the patient's presentation was the young age at which the cephalohematoma was determined to be calcified, noted at 34 days of life. The management of the patient is discussed along with a review of the epidemiology, treatment, and prognosis of cephalohematomas. It is widely understood that most cephalohematomas reabsorb within ~30 days, but it is imperative that the general pediatrician is aware of potential complications that may arise and subsequent next steps in management. The long-term neurologic effects from an untreated calcified cephalohematoma have not been well-studied; however, prompt evaluation is recommended to prevent permanent cosmetic changes and psychosocial impact due to cranial vault distortion.