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