Sep 21, 2015 hematoma subgaleal traumatismo diagnostico por imagen. The battered or maltreatment syndrome of childhood has to be seen to be believed. Seram 2014 s1122 colecciones extracraneales en pediatria. Subgaleal hematoma developed one to eight days after minor head trauma in four children and in two infants, one with presumed trauma. Subgaleal hemorrhage is most often associated with vacuum extraction and forceps delivery, but it may also occur spontaneously. A subgaleal hematoma sgh, also known as a subgaleal hemorrhage, is a serious complication that occurs when blood accumulates outside of the babys skull extracranially 1. Subgaleal hematoma in a child, without skull fracture. The major cause of subgaleal hematoma in children is minor head trauma. The accumulation occurs in the space between the periosteum of the skull the membrane that covers the skull and the scalp aponeurosis the fibrous tissue that covers.
Pollack s, kassis i, soudack m, sprecher h, sujov p, guilburd jn, makhoul ir. Subgaleal hematoma describes scalp bleeding in the potential space between the periosteum and the galea aponeurosis. The majority of neonatal cases 90% result from applying a vacuum to the head at delivery ventouseassisted delivery. Many children become the pitiable recipients of adult rage, but one is seldom brought to the physician or the. Cefalohematoma, hematoma subgaleal y caput succedaneum. 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, which has been found to be as high as 2040% of the neonatal blood volume in some studies.
In the first 1978 edition of kleinmanns book diagnostic imaging of child abuse, a blunt trauma of the head area was noted as a common cause of subgaleal haematoma, particularly in association with skull factures. Escalpe, hematoma subgaleal y fractura deprimida 1. Barcovich aj 2000 brain and spine injuries in infancy and childhood. In the majority of cases recorded, the diagnosis of a subgaleal haematoma was made using computer tomography. Unlike a cephalohematoma, a subgaleal hemorrhage can be massive, leading to profound hypovolemic shock. Subgaleal hematoma caused by hairpull jama jama network. Anatomia del escalpe esta compuesto por 2 planos anatomicos. Hemorrhage into the subgaleal space resulted most likely from either radial or. The most likely cause of childhood subgaleal hematoma is a vigorous hairpull by the grip of an enraged adult, a clue to the batteredchild syndrome. It most commonly occurs after vacuumassisted and forceps delivery, but may also be seen following head trauma or. Inicio imagen diagnostica hematoma subgaleal difuso issn. Greenes y schutzman 608 ninos subgaleal hematoma is defined as blood collection within the loose areolar tissue of the scalp.
Kirkpatrick js, gower dj, chauvenet a, kelly dl jr. May 15, 2001 subgaleal hemorrhage is most often associated with vacuum extraction and forceps delivery, but it may also occur spontaneously. Childhood subgaleal hematoma following minor head trauma. Cefalohematoma, hematoma subgaleal y caput succedaneum dr. A subgaleal hemorrhage is an accumulation of blood within the loose connective tissue of the subgaleal space, which is located between the galea aponeurotica and the periosteum figure 1.
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