Neonatology Book


Subgaleal Hematoma

Aka: Subgaleal Hematoma, Subgaleal Hemorrhage
  1. See also
    1. Birth Trauma
    2. Newborn Head and Neck Exam
    3. Newborn Neurologic Exam
  2. Pathophysiology
    1. Potential space between skull periosteum to scalp galea
      1. Extends posteriorly from orbital ridges to occiput
      2. Extends laterally to ears
    2. Blood accumulates in this potential space
  3. Risk factors
    1. Repeated use of vacuum extractor
    2. Coagulopathy
  4. Symptoms
    1. Insidious Hematoma growth
      1. May extend to involve entire calvarium
      2. Develops over hours to days
  5. Signs
    1. Scalp pits as if edematous
    2. Periorbital or auricular Ecchymosis
    3. Hematoma crosses Suture lines
  6. Management
    1. Vigilant observation
    2. Scalp pressure dressing
    3. Transfusion
    4. Phototherapy
  7. Complications
    1. Hemorrhagic Shock
    2. Infection

Subgaleal Hemorrhage (C1260436)

Definition (NCI) Bleeding in the area between the scalp and the skull.
Concepts Disease or Syndrome (T047)
ICD10 P12.2
English Subgaleal Hemorrhage, Subgaleal hemorrhage, HEMORRHAGE, SUBGALEAL
Derived from the NIH UMLS (Unified Medical Language System)

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