This is subperiosteal haemorrhage due to rupture of blood vessels  most often due to a traumatic delivery

Most commonly seen in the parietal or frontal bone area

 

Clinical features

  • Swelling appears and increases over the days after birth
  • This swelling can be unilateral just over the place of traumatic delivery
  • The swelling is limited to one cranial bone
  • Sharply demarcated boundaries are palpable   

 

Investigations

  • By radiological finding, the swelling begins to calcify by 2nd week
  • It can appear as cystic defects over the years

 

Treatment

  • No treatment- Most cephalhematoma are absorbed by 6- 12 weeks
  • Control jaundice by phototherapy

 

Complications

  • Anaemia/ Jaundice
  • Abscess formation of cephalhematoma
  • Fracture during traumatic delivery should be ruled out

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