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The swelling may obscure the fontanel and cross cranial suture lines, distinguishing it from cephalohematoma, [2] in which the bleed is confined by its subperiosteal location. [3] Patients with subgaleal hemorrhage may also have significant hyperbilirubinemia due to resorption of hemolyzed blood. Laboratory studies may demonstrate reduced ...
Cephalohematoma should be distinguished from another scalp bleeding called subgaleal hemorrhage (also called subaponeurotic hemorrhage), which is blood between the scalp and skull bone (above the periosteum) and is more extensive. It is more prone to complications, especially anemia and bruising.
A subgaleal hemorrhage may initially look like a caput succedaneum or a chignon because blood crosses the suture lines for all three conditions. [6] However, notifiable signs of a subgaleal hemorrhage include fluctuant scalp swelling, a lesion crossing the suture lines, pitting edema continuing over the head, and fluid wave test. [21]
Intramuscular hematoma (inside muscle tissue) Skull/brain: Subgaleal hematoma – between the galea aponeurosis and periosteum; Cephalohematoma – between the periosteum and skull. Commonly caused by vacuum delivery and vertex delivery. Epidural hematoma – between the skull and dura mater; Subdural hematoma – between the dura mater and ...
Raccoon eyes, also known as panda eyes or periorbital ecchymosis, is a sign of basal skull fracture or subgaleal hematoma, a craniotomy that ruptured the meninges, or (rarely) certain cancers. [ 1 ] [ 2 ] Bilateral hemorrhage occurs when damage at the time of a facial fracture tears the meninges and causes the venous sinuses to bleed into the ...
Infants, too, have larger subdural spaces and are more predisposed to subdural bleeds than are young adults. [3] It is often claimed that subdural hematoma is a common finding in shaken baby syndrome, although there is no science to support this. [8] In juveniles, an arachnoid cyst is a risk factor for subdural hematoma. [12]
Subdural hematoma maybe less acute than epidural hematoma due to slower blood accumulation, but it still has the potential to cause brain herniation that may require surgical evacuation. [3] Clinical features depend on the site of injury and severity of injury. Patients may have a history of loss of consciousness but they recover and do not ...
Gut flora, that in adults produces vitamin K, has not yet developed. [2] Early VKDB is rare and caused by maternal medications that interact with vitamin K such as warfarin, phenytoin, or rifampicin. [2] Classical VKDB is more common and caused by the relative deficiency at birth with inadequate vitamin K intake.