This page includes the following topics and synonyms: Subgaleal Hematoma, Subgaleal Hemorrhage. Subgaleal hematoma (SGH), an abnormal accumulation of blood under the galeal aponeurosis of the scalp, is more commonly observed in newborns and. Subgaleal hematoma developed one to eight days after minor head trauma in four children and in two infants, one with presumed trauma. These six children.
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Transfusion and phototherapy may be necessary.
Complications Hemorrhagic Shock Infection. This article has been cited by other articles in PMC. Disease or Syndrome T The diagnosis is generally a clinical one, with a fluctuant boggy mass developing over the suvgaleal especially over the occiput with superficial skin bruising. Investigation for coagulopathy may be indicated.
Childhood Subgaleal Hematoma Following Minor Head Trauma | JAMA Pediatrics | JAMA Network
This page was last edited on 10 Julyat Case 3 Case 3. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. It is a rare but possibly lethal emergency.
The use of vacuum assisted delivery devices and fetal subgaleal haemorrhage.
Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Arch Pediatr Adolesc Med ; The cord blood pH was 7.
United States Food and Drug Administration. Deborah Davis, Division of Neonatology, Rm. Sign in to access your subscriptions Sign in to your personal account. Purchase access Subscribe to the journal.
Pathophysiology Potential space between skull periosteum to scalp galea Extends posteriorly from orbital ridges to occiput Extends laterally to ears Blood accumulates in this subhaleal space. The baby required bag and mask ventilation for a short time. Fluid boluses were suggested but not given because of lack of intravenous access. Pressure wrapping of the head has been advocated by some, 6 but the large subaponeurotic space is difficult to wrap except with a cap that is attached under the chin; wrapping might be disadvantageous if cerebral edema were present.
A fluctuant scalp mass with increasing head circumference may be seen on palpation.
After stabilization, consideration should be given to investigating the possibility of a congenital coagulopathy. Subgaleal hemorrhage or hematoma is bleeding in the potential space between the skull periosteum subgalwal the scalp galea aponeurosis.
Footnotes This article has been peer reviewed.
Childhood Subgaleal Hematoma Following Minor Head Trauma
Neonatal subgaleal hemorrhage: diagnosis and management
Diagnosis is made by history-taking and physical examination. Patients with subgaleal hematoma may present with hemorrhagic shock given the volume of blood that can be lost into the potential space between the skull periosteum and the scalp galea aponeurosis. In other projects Wikimedia Commons. Retrieved from ” https: