Citation, DOI & case data
Patient brought in by parents for persistent swelling of the left parietal skull
Left parietal cephalohematoma
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1) A well-defined convex, calcified lesion measuring approximately 4.5 cm in maximum transverse diameter and 6 mm in maximum thickness in the left parietal region; is most compatible with a calcified cephalohematoma. The cephalohematoma does not cross the sagittal suture, as expected.
2) Both orbits and bone density appear normal, and no other lesion is visualized.
3 case questions available
A cephalohematoma is a collection of subperiosteal blood which is often related to instrument-assisted vaginal delivery. They present as soft tissue swelling in the newborn which does not cross suture lines. Usually, cephalohematomas resolve spontaneously over weeks but complications such as calcification or infection may require intervention.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Pediatric Radiologist,
Olive View - UCLA Medical Center.
- 1. Raines DA, Krawiec C, Jain S. Cephalohematoma. [Updated 2022 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470192/
- 2. Ulma RM, Sacks G, Rodoni BM, Duncan A, Buchman AT, Buchman BC, Vercler CJ, Kasten SJ, Muraszko KM, Buchman SR. Management of Calcified Cephalohematoma of Infancy: The University of Michigan 25-Year Experience. Plast Reconstr Surg. 2021 Aug 1;148(2):409-417. doi: 10.1097/PRS.0000000000008199. PMID: 34398092.
- 3. Ulma, Raquel M. DDS, MD; Sacks, Gina MD; Rodoni, Bridger BS; Duncan, Anthony L. MD; Buchman, Alexandra T.; Buchman, Brevin C.; Vercler, Christian J. MD; Kasten, Steven J. MD; Muraszko, Karin MD; Buchman, Steven R. MD. Management of Calcified Cephalohematoma of Infancy: A Single Institution 25-Year Experience. Plastic and Reconstructive Surgery - Global Open: September 2020 - Volume 8 - Issue 9S - p 38-39 doi: 10.1097/01.GOX.0000720480.19319.a0