Daglioglu Ergun, Okay Onder, Hatipoglu Hatice Gul, Dalgic Ali, Ergungor Fikret
Ankara Numune Education and Research Hospital, Neurosurgery Clinic, Ankara, Turkey.
Turk Neurosurg. 2010 Jan;20(1):96-9.
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.
头颅血肿（CH）是婴儿期较少见的问题，发病率为1%，然而钙化的头颅血肿很少见。钙化的确切原因尚不清楚。我们报告两例钙化头颅血肿，它们是阴道分娩时真空吸引术的并发症。钙化头颅血肿通常因颅骨不对称和颅骨肿块等美容原因而出现。虽然多普勒超声对头颅血肿的诊断有用，但计算机断层扫描或直接X线检查在检测钙化头颅血肿方面更有帮助。对于2岁以下的病例应进行随访，因为颅骨会持续生长，且有自发消退的可能。对于有神经功能缺损或随访时有持续性病变的病例应考虑手术干预。
