Uthamalingam Murali, Singh Dharamjit Singh Jitsweer
Associate Professor, Department of Surgery, IMS / MSU / Malaysia .
MBBS Student, IMS / MSU / Malaysia .
J Clin Diagn Res. 2016 Jun;10(6):PD05-6. doi: 10.7860/JCDR/2016/18761.7965. Epub 2016 Jun 1.
Incidences of cerebral palsy (CP) in children are not quite common even though it is the most common motor disorder in children. Further quality of life in CP cases is not so good in young adult stages and has to face certain problems. However scalp haematoma formation in CP patient without injury to head is rarely been reported. The case is being reported for the first time from Malaysia. We report on a unique case of scalp haematoma in an 18-year-old girl of known CP patient with unknown cause. No history of trauma or fall with any of the focal neurological signs or symptoms was found. Clinical examination showed soft boggy swelling of 8 x 10 cm size, involving most of scalp and upper face. CT - scan showed scalp haematoma with right orbital extraconal lesion. She underwent incision and drainage of scalp lesion; consequently around 100 ml of clotted blood came out. At follow-up she was doing well.
尽管脑瘫（CP）是儿童中最常见的运动障碍，但儿童脑瘫的发病率并不十分常见。此外，脑瘫患者在年轻成年阶段的生活质量不太好，并且不得不面对某些问题。然而，在没有头部受伤的脑瘫患者中形成头皮血肿的情况很少被报道。该病例首次来自马来西亚。我们报告了一例18岁已知脑瘫女孩出现不明原因头皮血肿的独特病例。未发现有创伤或跌倒史以及任何局灶性神经体征或症状。临床检查显示有一个8×10厘米大小的柔软、肿胀、有波动感的肿块，累及大部分头皮和上脸。CT扫描显示头皮血肿伴右侧眶锥外病变。她接受了头皮病变的切开引流；随后引出了约100毫升凝血。随访时她情况良好。
