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Head imaging, using either CT or MRI, can be useful for differentiating subgaleal hemorrhage from other sources of cranial bleeding. Head ultrasound is useful for the diagnosis of SGH in the hands of an operator experienced in imaging the neonatal head and scalp, and is preferable to CT due to lack of ionizing radiation.
Cephalohematoma should be distinguished from another scalp bleeding called subgaleal hemorrhage (also called subaponeurotic hemorrhage), which is blood between the scalp and skull bone (above the periosteum) and is more extensive. It is more prone to complications, especially anemia and bruising.
A subgaleal hemorrhage may initially look like a caput succedaneum or a chignon because blood crosses the suture lines for all three conditions. [6] However, notifiable signs of a subgaleal hemorrhage include fluctuant scalp swelling, a lesion crossing the suture lines, pitting edema continuing over the head, and fluid wave test. [21]
Caput succedaneum is a benign neonatal condition involving a serosanguinous (containing blood and serum), subcutaneous, extra-periosteal fluid collection with poorly defined margins caused by the pressure on the presenting part of the fetal scalp by the vaginal walls and uterus as the infant passes through a narrowed cervix during delivery. [1]
Head trauma and brain damage during delivery can lead to a number of conditions include: caput succedaneum, cephalohematoma, subgaleal hemorrhage, subdural hemorrhage, subarachnoid hemorrhage, epidural hemorrhage, and intraventricular hemorrhage. [citation needed] The most common fracture during delivery is that of the clavicle (0.5%). [7]
Umbilical cord constriction may be identified and observed by ultrasound, if requested. [ 42 ] Some maternal factors are associated with stillbirth, including being age 35 or older, having diabetes, having a history of addiction to illegal drugs, being overweight or obese, and smoking cigarettes in the three months before getting pregnant.
Ellen Greenberg was found dead in 2011 in her Philadelphia apartment with 20 knife wounds and numerous bruises. Authorities ruled her death a suicide. Fourteen years later, the pathologist who ...
In 2002, a Dutch retrospective study [22] analysed cases where neonatologists had intervened and drained CSF by lumbar or ventricular punctures if ventricular width (as shown on ultrasound) exceeded the 97th centile as opposed to the 96th centile plus 4 mm. [23] Professors Whitelaw's original Cochrane review [16] published in 2001 as well as ...