Krishnan Prasad, Karthigeyan Madhivanan, Salunke Pravin
Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India.
Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Pediatr Neurosci. 2017 Jan-Mar;12(1):64-66. doi: 10.4103/jpn.JPN_181_16.
Cephalhematomas occurring in newborn usually resolve within a month. Rarely, they tend to ossify and present as hard scalp swelling. Unless one is aware of this possibility, this condition may be misinterpreted as bony tumor and cause needless apprehension to parents as well as the treating physician. A suspicion that ossified cephalhematoma (OC) could present in such a manner supported by careful history taking and relevant imaging (X-ray/computed tomography) would help in appropriate evaluation of this benign condition. The management of OC is controversial. Occasionally, they undergo spontaneous remodeling. Those with secondary craniosynostosis and/or disfigurement are treated surgically. Simple ossified lesions with no significant cosmetic issues may be conservatively tackled. We report such a case in a 3-month-old child. The other management options are briefly discussed.
新生儿头颅血肿通常在一个月内消退。少数情况下，它们会发生骨化，表现为头皮硬肿。除非有人意识到这种可能性，否则这种情况可能会被误诊为骨肿瘤，给家长和治疗医生带来不必要的担忧。通过仔细询问病史和进行相关影像学检查（X线/计算机断层扫描），怀疑骨化性头颅血肿（OC）可能以这种方式出现，将有助于对这种良性疾病进行适当评估。OC的治疗存在争议。偶尔，它们会自行重塑。伴有继发性颅骨融合和/或畸形的患者需接受手术治疗。对于没有明显美容问题的单纯骨化性病变，可以采取保守治疗。我们报告了一例3个月大儿童的此类病例。并简要讨论了其他治疗选择。
