Document Detail

Sagittal synostosis and ossified scalp hematoma: cause or consequence?
MedLine Citation:
PMID:  20593984     Owner:  NLM     Status:  MEDLINE    
In this paper, the author presents 2 cases of sagittal synostosis with scaphocephaly that featured ossified scalp hematomas straddling the sagittal suture in the midparietal region. These ossified lesions were originally cephalohematomas. Collection of blood under the pericranium across the midline was possible in these cases because sagittal synostosis had obliterated the sagittal suture and its dense attachment to overlying periosteum. Scaphocephaly very likely exacerbated the difficulty of the deliveries and contributed to the causation of the scalp hemorrhages. The alternative hypothesis, that ossification of a scalp hematoma immobilized the suture and caused synostosis, is not tenable for reasons that are reviewed. Sagittal synostosis in these 2 instances was not a complication of birth trauma.
Joseph H Piatt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  6     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  29-32     Citation Subset:  IM    
Section of Neurosurgery, Department of Pediatrics, Drexel University College of Medicine, St Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.
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MeSH Terms
Cranial Sutures / radiography*
Craniosynostoses / etiology*,  radiography*,  surgery*
Craniotomy / methods
Follow-Up Studies
Hematoma / complications*,  radiography*
Image Processing, Computer-Assisted*
Imaging, Three-Dimensional*
Infant, Newborn
Ossification, Heterotopic / complications*,  radiography*
Parietal Bone / radiography*
Scalp / injuries,  radiography*
Subarachnoid Space / radiography
Tomography, X-Ray Computed*
Vacuum Extraction, Obstetrical / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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