van Tellingen Vera, Obihara Charles C, van Tilborg Godefridus F A J B, van Dijken Pieter J
Department of Paediatrics, St. Elisabeth Hospital, Tilburg, The Netherlands.
Am J Perinatol. 2008 Mar;25(3):153-5. doi: 10.1055/s-2008-1061500. Epub 2008 Feb 22.
A 4-day old neonate presented with a midline swelling located on the back of its head. The two most likely causes of the swelling were cephalohematoma, which is self-limiting and carries a benign prognosis, and encephalocele, often associated with central nervous system malformations. Evaluation with magnetic resonance imaging (MRI) revealed a subperiosteal blood collection with intact underlying structures, establishing the diagnosis of a cephalohematoma. This is the first report to show the value of MRI in distinguishing between an occipital cephalohematoma and an encephalocele.
一名4天大的新生儿头部后方出现中线肿胀。肿胀最可能的两个原因是头颅血肿，它是自限性的，预后良好；以及脑膨出，常与中枢神经系统畸形相关。磁共振成像（MRI）评估显示骨膜下有血液积聚，其下方结构完整，确诊为头颅血肿。这是第一份显示MRI在鉴别枕部头颅血肿和脑膨出方面价值的报告。
