Bilateral subgaleal hematomata

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Headache in the absence of trauma

Patient Data

Age: 35 years
Gender: Female

Huge extracranial hematoma that crosses the sutures. No skull fracture (on bony reconstructions not uploaded). No intracranial abnormality. The hematoma has areas of mixed density. This represents a huge subgaleal hematoma. 

Case Discussion

Almost circumferential soft tissue swelling predominantly located around the vertex. Features are of a huge subgaleal hematoma.

There was no history of trauma. Further investigation revealed an underlying hematological abnormality and bleeding diathesis.

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