Cephalohematoma, caput succedaneum and epidural hematoma

Case contributed by Joseph Scheller

Presentation

Full-term failed vacuum delivery x 2, very low Apgar score and severe acidemia at birth. Underwent hypothermia treatment.

Patient Data

Age: Neonate
Gender: Male

Large left parietal cephalohematoma.

Right parietal caput succedaneum.

Right acute and hyperacute posterior parietal epidural hematoma.

Case Discussion

This child had a 5 minute Apgar score of 2 and an umbilical artery cord serum pH of 6.7. The child developed seizures on the first day of life and was treated with hypothermia. 

MRI was not done until 12 days of age when the child was noted to be lethargic.

The epidural hematoma was treated neurosurgically.

This child is developmentally normal at age 2 years.

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