Aguas J, Conde C, Fructuoso G G, Mondelo F J, Ferrer E
Department of Neurosurgery, Hospital Clínic i Provincial, University of Barcelona, Spain.
Surg Neurol. 1995 Apr;43(4):363-6. doi: 10.1016/0090-3019(95)80065-o.
The term "cephalhematoma" is applied to a collection of blood under the periosteum of a skull bone. It most frequently occurs in the neonatal period and is rare at other times of life.
We report on a 15-year-old boy with a subperiosteal hematoma involving the whole cranial surface. Surgical drainage was performed. In the immediate postoperative course, the patient developed a progressive decrease in the right eye visual acuity. An orbital computed tomographic scan revealed the retro-orbital subperiosteal extension of the hematoma. A second surgical procedure was necessary to obtain visual recovery.
The occurrence of cephalhematoma in adults is exceptional. However, it may lead to serious complications. Surgical treatment should be aimed to avoid retro-orbital extension of the hematoma.
“头颅血肿”一词用于指颅骨骨膜下的血液积聚。它最常发生在新生儿期，在生命的其他时期很少见。
我们报告了一名15岁男孩，其骨膜下血肿累及整个颅面。进行了手术引流。术后即刻，患者右眼视力逐渐下降。眼眶计算机断层扫描显示血肿向后眶骨膜下延伸。需要进行第二次手术以恢复视力。
成人发生头颅血肿的情况很罕见。然而，它可能导致严重并发症。手术治疗应旨在避免血肿向后眶延伸。
