Oldenburg Michelle F A, van Kempen Evelien, Bodaar Kimberly, Holband Natanaël, Klerx-Melis Floortje, Vos Paul
Hagaziekenhuis, Juliana Kinderziekenhuis, Den Haag.
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Ned Tijdschr Geneeskd. 2024 Jul 25;168:D7861.
In this article we describe an underexposed cause of subgaleal hematoma in the older child. Subgaleal hematomas are well-known in the context of trauma or blood clotting disorders. International literature acknowledges excessive force during hair styling as a possible cause. Here, we present two cases to illustrate the importance of a complete patient work-up.
Recently, two patients presented themselves at Juliana Children's Hospital, the Hague, the Netherlands, with a swelling on the head and headache with no obvious cause. Radiological imaging showed subgaleal hematomas. Upon questioning, both patients mentioned using extensive traction while styling their hair.
In conclusion, when analysing an older child with a swelling on the head with no obvious cause, consider the diagnoses subgaleal hematoma due to hair traction. It might be helpful to observe them styling their hair. A proper clinical review can therefore prevent over-testing and overtreatment.
