Cephalhematoma
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