Kirkpatrick J S, Gower D J, Chauvenet A, Kelly D L
Dev Med Child Neurol. 1986 Aug;28(4):511-4. doi: 10.1111/j.1469-8749.1986.tb14291.x.
The rare cases of subgaleal hematoma in childhood reported previously have all been related to head trauma. A case of apparently spontaneous subgaleal hematoma is reported which was associated with a qualitative platelet defect and not with trauma. Subgaleal hematoma must be differentiated from subgaleal infection and air from frontal sinusitis with bony erosion, and from an encephalocele or tumor erosion through the skull. Computed cranial tomography is useful in that differentiation. Most cases have been managed conservatively, but subgaleal tap may be indicated if there is severe headache or potential scalp necrosis.
此前报道的儿童帽状腱膜下血肿罕见病例均与头部创伤有关。本文报告一例明显自发性帽状腱膜下血肿病例，该病例与血小板质量缺陷有关，而非创伤所致。帽状腱膜下血肿必须与帽状腱膜下感染、伴有骨质侵蚀的额窦炎引起的气体、以及通过颅骨的脑膨出或肿瘤侵蚀相鉴别。计算机断层扫描在这种鉴别中很有用。大多数病例采用保守治疗，但如果出现严重头痛或有潜在的头皮坏死，则可能需要进行帽状腱膜下穿刺。
