Mar 24 2020

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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Subgaleal Hematoma

The presence of fluctuance early on, whether or not the swelling is progressive, is an important distinguishing feature of subgaleal hemorrhage. 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. Please help improve this article by adding citations to reliable sources.

Risk factors Repeated use of vacuum extractor Coagulopathy.

Transfusion and phototherapy may be necessary. Case 3 Case 3. Other risk factors include prematurity, macrosomia, prolonged hrmatoma, cephalopelvic disproportion, primiparity, male sex, and African lineage.

Intrauterine hypoxia Infant respiratory distress syndrome Transient tachypnea of the newborn Meconium aspiration syndrome pleural disease Pneumothorax Pneumomediastinum Wilson—Mikity syndrome Bronchopulmonary dysplasia.


Moderate to severe presentations occur in 1. Am J Dis Child.

Subgaleal hemorrhage

Postmortem examination confirmed a massive subgaleal hemorrhage, with several diastatic fractures and anoxic-ischemic changes within the brain. Subgaleal hematomas SGH are rare but potentially fatal accumulations of blood beneath the galea aponeurotica of the scalp in the newborn. By using this site, you agree to the Terms of Use and Privacy Policy.

Footnotes This article has been peer reviewed. Sign in to save your search Sign in to your personal account. After stabilization, consideration should be given to henatoma the possibility of a congenital coagulopathy. Pneumopericardium Persistent fetal circulation.

Bilirubin levels must also be carefully monitored. Retrieved 12 April Hemorrhage into the subgaleal space resulted most likely from either radial or tangential forces applied to blood vessels within the subgaleal space.

Signs include pallor on inspection. Monitoring includes a minimum of 8 hours’ observation for all babies following difficult vacuum extractions or forceps deliveries, regardless of Apgar score or need for resuscitation.

Neonatology – Neurology Pages. Neurological disorders Birth trauma. Birth by vacuum extraction: Related Bing Images Extra: Cranial trauma following birth in term infants. Sign in to download free article PDFs Sign in to access your subfaleal Sign in to your personal account. Purchase access Subscribe now. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.


Childhood Subgaleal Hematoma Following Minor Head Trauma | JAMA Pediatrics | JAMA Network

Subgaleal HematomaSubgaleal Hemorrhage. Support Radiopaedia and see fewer ads.

Create a free personal account to download free article PDFs, sign up for alerts, and more. Placenta praevia Placental insufficiency Twin-to-twin transfusion syndrome. Bleeding in the area between the scalp and the skull.

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Although access to this website is not restricted, the information found here is intended for use by medical providers. Medical device alert Create a personal account to register for email alerts with links to free full-text articles. Management consists of vigilant observation over days to detect progression and, hemayoma required, of management of complications e.

Create a free personal account to download free article PDFs, sign up for alerts, and more. This baby died of hypovolemic shock caused by massive subgaleal hemorrhage with a secondary acute encephalopathy. One hundred twenty-three SGH cases are summarized from the literature. These images are a random sampling from a Bing search on the term “Subgaleal Hematoma.