MRI features of an infected cephalhaematoma in a neonate

Ming Hong Chen, Jiao Chiao Yang, Jin Shan Huang, Mei Hsiu Chen

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Bacterial infection of a cephalhaematoma is rare and has been associated with needle aspiration of the haematoma, placement of scalp electrodes and systemic sepsis. Clinical diagnosis of infected cephalhaematoma is difficult without obvious evidence of local infection. The role of imaging in differentiating infected from non-infected cephalhaematoma has not been clearly established. Needle aspiration is considered mandatory for suspected cases. In this report, we present the magnetic resonance imaging (MRI) findings of a 23-day-old neonate with an infected cephalhaematoma. Cephalhaematoma is a subperiosteal accumulation of blood, thus the diagnosis of infected cephalhaematoma was made as the MRI showed an accumulation of blood under thick, contrast-enhancing periosteum in the presented case. Without a diagnostic puncture, the decision for surgical intervention was made before complicating osteomyelitis developed. Early intervention with simple incision and drainage resulted in prompt improvement.

Original languageEnglish
Pages (from-to)849-852
Number of pages4
JournalJournal of Clinical Neuroscience
Volume13
Issue number8
DOIs
Publication statusPublished - Oct 1 2006
Externally publishedYes

Keywords

  • Cephalhaematoma
  • Infection
  • Magnetic resonance imaging

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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