Neuro

Subgaleal Hematoma

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Subgaleal Hematoma, Subgaleal Hemorrhage

  • 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
  • Risk factors
  1. Repeated use of vacuum extractor
  2. Coagulopathy
  • Symptoms
  1. Insidious hematoma growth
    1. May extend to involve entire calvarium
    2. Develops over hours to days
  • Signs
  1. Scalp pits as if edematous
  2. Periorbital or auricular Ecchymosis
  3. Hematoma crosses Suture lines
  • Management
  1. Vigilant observation
  2. Scalp pressure dressing
  3. Transfusion
  4. Phototherapy
  • Complications
  1. Hemorrhagic Shock
  2. Infection