Vigo Vera, Battaglia Domenica Immacolata, Frassanito Paolo, Tamburrini Gianpiero, Caldarelli Massimo, Massimi Luca
Departments of 1 Pediatric Neurosurgery and.
Pediatric Neurology, A. Gemelli Hospital, Rome, Italy.
J Neurosurg Pediatr. 2017 Jan;19(1):46-50. doi: 10.3171/2016.6.PEDS16120. Epub 2016 Oct 7.
Cephalohematoma, one of the most common neonatal head injuries, generally undergoes spontaneous resorption. When calcified, it may cause cranial vault distortion and depression of the inner skull layer, although it remains asymptomatic. Surgery, indeed, is usually performed for cosmetic purposes. For these reasons, the long-term effects of calcified cephalohematoma (CC) are widely unknown. The authors report the case of an 11-year-old girl with a persistent calcified CC causing skull deformity and delayed electroencephalography (EEG) anomalies. These anomalies were detected during routine control EEG and were not clinically evident. The young girl underwent surgical removal of the CC for cosmetic purpose. The EEG abnormalities disappeared after surgery, thus reinforcing the hypothesis of a correlation with the brain "compression" resulting from the CC. To the best of the authors' knowledge this is the first time that CC-associated EEG anomalies have been described: even though these anomalies cannot be considered an indication for surgery, they merit late follow-up in case of skull deformity.
头颅血肿是最常见的新生儿头部损伤之一，通常会自行吸收。钙化后，尽管仍无症状，但可能会导致颅穹窿变形和内颅骨层凹陷。实际上，手术通常是出于美容目的而进行的。由于这些原因，钙化性头颅血肿（CC）的长期影响尚不为人所知。作者报告了一例11岁女孩的病例，其持续性钙化性CC导致颅骨畸形和延迟性脑电图（EEG）异常。这些异常是在常规脑电图检查中发现的，临床上并不明显。该年轻女孩因美容目的接受了CC手术切除。术后脑电图异常消失，从而强化了与CC导致的大脑“压迫”相关的假设。据作者所知，这是首次描述与CC相关的脑电图异常：尽管这些异常不能被视为手术指征，但在出现颅骨畸形的情况下，值得进行后期随访。
