Cephalohematoma

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Etiology/Pathophysiology:
Common sequelae of birth trauma, frequently associated with forceps delivery. Is a subperiosteal calvarial hemorrhage and therefore the bleeding is limited by suture lines. Heals via progressive resorption over several months, and is treated via observation.

Pathology:
Not applicable

Imaging Findings:
Usually seen over the parietal regions and underlying fractures are rare. Peripheral calcification of the hematoma is seen by 10-14 days and eventually the entire hematoma is outlined by calcification. Resolution takes several months and there is often some degree of remnant calvarial thickening.

DDX:
Obstetrical Scalp Injuries

• Caput succedaneum - subcutaneous collection of blood not limited by sutural margins.
• Subgaleal hematoma - bleeding into the subaponeurotic or subgaleal portions of scalp that also extends beyond suture margins but is much larger than a caput succedaneum.

References:
See References Chapter.

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See related Provider Topics Brain and Nervous System, Head and Brain Injuries or Injuries and Wounds.

See related Patient Topics Brain and Nervous System, Head and Brain Injuries or Injuries and Wounds.

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