What is a traumatic subgaleal hematoma?

What is a traumatic subgaleal hematoma?

What is a traumatic subgaleal hematoma?

Subgaleal hematoma (SGH), a collection of blood in the space between the periosteum and galea aponeurotica, is caused by rupture of the emissary veins. It is usually observed in neonates after delivery by vacuum assistance and in children with minimal head trauma, such as hair combing or braiding.

What causes Subgaleal hemorrhage in adults?

It most commonly occurs after vacuum-assisted and forceps delivery, but may also be seen following head trauma or occur spontaneously. In patients with intracranial hemorrhage or skull fractures, the incidence of subgaleal hemorrhage is increased.

Can subgaleal hematoma be cured?

The haematoma usually has a low volume and often resolves spontaneously or with compression bandage within a few weeks. If conservative treatment fails, aspiration, surgery or even endovascular surgery can be effective.

Can a Haematoma move?

For example, a patient who injures the base of his thumb might cause a hematoma, which will slowly move all through the finger within a week. Gravity is the main determinant of this process. Hematomas on articulations can reduce mobility of a member and present roughly the same symptoms as a fracture.

What is a subgaleal hematoma in adults treatment?

Conservative treatment with bandage compression is recommended for SGH. Surgery is reserved for cases where non-invasive management fails or severe complications. Keywords: hair pulling; head trauma; subgaleal hematoma.

What does subgaleal mean?

Specialty. Pediatrics. Subgaleal hemorrhage or hematoma is bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis.

How long does a subgaleal hematoma last?

SGH may be misdiagnosed as cephalohematomas or caput succedaneum. ♣ Cephalhematoma is the collection of blood under the periosteum and does not cross the suture lines. Cephalhematomas are firm masses that will resolve in 2 weeks to 6 months.

What does subgaleal hematoma feel like?

Symptoms. The diagnosis is generally clinical, with a fluctuant boggy mass developing over the scalp (especially over the occiput) with superficial skin bruising. The swelling develops gradually 12–72 hours after delivery, although it may be noted immediately after delivery in severe cases.

What can you do for subgaleal hematoma?

Treatment for a subgaleal hematoma is aimed at resolving the symptoms of blood loss and assuring that the infant returns to a stable condition. This often includes volume resuscitation and blood transfusions to correct ongoing bleeding (1, 3).