Early surgical intervention for a large newborn cephalohematoma

Chikezie I. Eseonu, Amanda N. Sacino, Edward S. Ahn

Research output: Contribution to journalArticlepeer-review

Abstract

Cephalohematomas in newborns are often managed nonsurgically and resolve within the first month of life. In cases of large hematomas (>7 cm) with delayed resorption and persistence over 4 weeks, these masses can often lead to complications of calcification, infection, or hyperbilirubinemia. We report a case of a 14-day-old child with a persistent, large, noncalcified cephalohematoma. After observation alone showed that the cephalohematoma increased in size, 100 ml of old blood was surgically evacuated on day 15 of life. The procedure required a small 1-cm incision and, unlike most large cephalohematomas evacuated after 1 month of observation, there were no signs of skull-deforming calcification observed. This case report presents the earliest evacuation of large noncalcified cephalohematomas in newborns ever reported in the literature, and suggests benefits of early surgical evacuation before 1 month of life.

Original languageEnglish (US)
Pages (from-to)210-213
Number of pages4
JournalPediatric Neurosurgery
Volume51
Issue number4
DOIs
StatePublished - May 1 2016

Keywords

  • Cephalohematoma
  • Plagiocephaly
  • Surgical evacuation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

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