Neonatal soft tissue injuries of the scalp

Question 1

types of Neonatal soft tissue injuries of the scalp

Answer 1

• Caput Succedaneum
• Subgaleal hematoma
• Cephalohematoma

Question 2

Caput Succedaneum location

Answer 2

*between skin and aponeurosis
fluid accumulation (most superficial one
**crosses the suture line

Question 3

Subgaleal hematoma location

Answer 3

• between periosteum and aponeurosis
  **crosses the suture line

Question 4

Cephalohematoma location

Answer 4

*deepest one
*between skull and periosteum
*does not cross the suture line

Question 5

Caput succedaneum etiology and treatment

Answer 5

*Vacuum Assisted delivery
between skin and aponeurosis
fluid accumulation

*treatment :No Treatment is needed (self resolution )

*normal HCT

Question 6

Subgaleal Hematoma etiology and treatment

Answer 6

• Rupture of emissary veins
  between periosteum and aponeurosis
  *Tx: volume resuscitation
  with packed RBCs,
  Fresh frozen plasma

Question 7

Subgaleal Hematoma presentation

Answer 7

most dangerous ,serious
Emergency , Low Hct
tachycardia
spongy feeling scalp
head circumference rabidly increases
20-50 % loss of blood volume

Question 8

Cephalohematoma etiology and treatment

Answer 8

• Forceps assisted delivery ( facial nerve palsy as AE)
  Subperiosteal bleeding
  Usually with Jaundice – measure bilirubin
• Tx:rezolve by it self
  weeks to months(2 weeks to 3 months )