Subgaleal hematoma

Case contributed by Dr Fakhry Mahmoud Ebouda


Abnormal head shape and swelling after vacuum delivery at the hospital.

Patient Data

Age: 2 days
Gender: Male

Large mainly left sided subgaleal hematoma with smaller contraletral extension to the right side. It extends beyond sagital suture. It shows fluid / fluid level likely to be blood degredation on the left side of the scalp. Ill-defined hyperdensities are seen in the posterior fossa and occipital lobes suggesting subarachnoid bleed. Attenuated cerebral ventricles with effaced cortical sulci likely owing to diffuse cerebral edema.

Case Discussion

Large scalp soft tissue swelling, mainly on the left pareital region. It extends to lesser extent to the right parietal extracranial region exceeding the sagittal suture. Crossing the suture is the hall mark and differentiating point of subgaleal hematoma from cephalohaematoma. 

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Case information

rID: 26787
Published: 8th Jan 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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