Cephalohematoma in a Patient with Ehlers-Danlos Syndrome

Felton, B.; White, Josh Michael; Jones, Richard M.

doi:10.5811/westjem.2013.1.13409

Cited by 1 publication

(5 citation statements)

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“…In another case reported by Felton et al ., a more invasive method of treatment was utilized and a drain was placed under the scalp, due to the fast, uncontrolled, and massive increase in the size of hematoma. [ 3 ] The patients were recovered in both cases.…”

Section: Discussionmentioning

confidence: 99%

“…[14] Ehlers-Danlos syndrome has been associated with perforated viscous, vascular catastrophes, ruptured uterus, pneumothorax, aneurysms, arteriovenous fistulas, intracranial aneurysms, and arterial dissections. [1][2][3][5][6][7][8][9]11,12,15] Due to the compromised nature of connective tissues in Ehlers-Danlos syndrome, even minor traumas may lead to catastrophic results. [1,2] Anatomically, the subgaleal area binds the cranial periosteum and the galea aponeurotica.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3]5,6,11] Despite its benign course, SGHs may complicate by lifethreatening events. [1][2][3]5,6,9,11] head on the edge of the table. He presented to the emergency department with a chief complaint of minor scalp swelling.…”

Section: Introductionmentioning

confidence: 99%

“…A few cases have been described in older children, occasionally as a result of minor head trauma such as hair braiding or hair pulling. [ 1 - 3 , 5 , 6 , 11 ] Despite its benign course, SGHs may complicate by life-threatening events. [ 1 - 3 , 5 , 6 , 9 , 11 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 - 3 , 5 , 6 , 11 ] Despite its benign course, SGHs may complicate by life-threatening events. [ 1 - 3 , 5 , 6 , 9 , 11 ]…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Traumatic subgaleal hematoma in patient with Ehlers-Danlos syndrome: A rare case report

Gurses¹,

Bahadır²,

Bilginer³

2022

Surgical Neurology International

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Background: A subgaleal hematoma (SGH) describes scalp bleeding in the potential space between the periosteum and the galea aponeurosis. This hematoma generally occurs after vacuum-assisted and forceps delivery, but may also be seen following head trauma. Despite its benign course, SGHs may complicate by life-threatening events. Case Description: We report a case of a 10-year-old male with Ehlers-Danlos syndrome presenting with scalp swelling following minor head trauma. On examination, a small swelling was observed in the occipital region. During the follow up, as the volume of subgaleal hematoma was increasing, we performed needle aspiration to achieve volume reduction, and dressed with a cap like bandage that wrapped and compressed scalp. The patient was hospitalized due to hemodynamic instability and a blood transfusion was performed. Due to extended usage of compressive bandage, a large area of scalp tissue became necrotic. The necrotic scalp tissue was debrided and reconstructed by plastic and reconstructive surgery. After surgery, another hematoma formed extending from the front of the ear to the ipsilateral neck caused facial paralysis, this hematoma was evacuated and a drain was placed. The patient was followed up for 1 year and no recurrent cephalhematoma was observed. Conclusion: Ehlers-Danlos is a rarely encountered connective tissue syndrome, this case underscores the importance for neurosurgery physicians to recognize the potential catastrophes, these patients may present with following even minor injury.

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Section: Discussionmentioning

confidence: 99%