Management of neonatal cephalohematoma and ossified cephalhematoma -281 cases of personal 10-year experience.

IF 1.3 4区医学 Q4 CLINICAL NEUROLOGY Child's Nervous System Pub Date : 2025-01-02 DOI:10.1007/s00381-024-06740-x

Min Xi, Hangyu Shi, Gang Zhang

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Abstract

Objective: Investigate the clinical features and treatment outcomes of neonatal cephalohematoma and ossified cephalohematoma.

Methods: A retrospective review was conducted on the clinical features of 281 children with neonatal cephalohematoma and ossified cephalohematoma managed over the previous 10 years.

Results: Of the neonatal cephalohematomas, 75 underwent puncture and aspiration, while 98 neonatal ossified cephalohematomas were treated with neurosurgery without cranioplasty. The majority (83%) required only a single puncture, with no cases of infection or ossification in this group. Pathological examination revealed that ossified cephalohematomas resulted from the progression of neonatal cephalohematomas and were characterized by subperiosteal osteogenesis.

Conclusion: Our findings suggest that a more aggressive therapeutic approach and early surgical intervention for cephalohematoma are warranted. Puncture and aspiration of neonatal cephalohematoma is a safe and effective procedure that can prevent ossification. Early neurosurgery for ossified cephalohematoma is recommended as it is technically less challenging and can minimize the risk of severe surgical trauma.

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来源期刊

Child's Nervous System 医学-临床神经学

CiteScore

3.00

自引率

7.10%

发文量

322

审稿时长

3 months

期刊介绍： The journal has been expanded to encompass all aspects of pediatric neurosciences concerning the developmental and acquired abnormalities of the nervous system and its coverings, functional disorders, epilepsy, spasticity, basic and clinical neuro-oncology, rehabilitation and trauma. Global pediatric neurosurgery is an additional field of interest that will be considered for publication in the journal.