Turkish Neurosurgery 2010 , Vol 20 , Num 1
Spontaneous Resolution of Calcified Cephalhematomas of Infancy: Report of Two Cases
Ergun DAGLIOGLU1, Onder OKAY2, Hatice Gul HATIPOGLU3, Ali DALGIC4, Fikret ERGUNGOR5
1,2,4,5Ankara Numune Education and Research Hospital, Neurosurgery Clinic, Ankara, Turkey
3Ankara Numune Education and Research Hospital, Radiology Clinic, Ankara, Turkey
Cephalhematoma (CH) is less commonly encountered problem of infancy with an incidence of 1 % however calcified CHs are seldom. The exact reason of calcification remains unclear. We report two cases of calcified CHs that developed as a complication of vacuum extraction during vaginal delivery. Calcified CHs generally present with cosmetic reasons like skull asymmetry and calvarial mass. Although Doppler ultrasonography is useful in the diagnosis of CHs, computerized tomography or direct X-rays help more in the detection of calcified ones. Follow-up should be considered for cases below 2 years of age since the cranium continues to grow and there appears to be a chance of spontaneous resolution. Surgical intervention should be reserved for cases with neurological deficits or persistent lesions on follow-up. Keywords : Cephalhematoma, Calcification, Vacuum extraction, Vaginal delivery, Infant
Corresponding author : Ergun Daglřoglu, edaglioglu@gmail.com