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Child's Nervous System

, Volume 35, Issue 4, pp 729–732 | Cite as

Sagittal craniosynostosis associated with midline cephalhematoma or vice versa, case report and a review of the literature

  • Petr LibyEmail author
  • V. Lomachinsky
  • G. Felici
  • M. Vaculik
  • H. Krasnicanova
  • M. Tichy
Case Report
  • 49 Downloads

Abstract

Introduction

Sagittal craniosynostosis associated with midline cephalhematoma is a rare finding. Despite the controversy regarding its etiopathogenesis, this condition represents a clear indication for surgery.

Case report

We present a case of a 10-week-old boy with an ossified midline vertex cephalhematoma and sagittal craniosynostosis. The child underwent a cephalhematoma excision and minimally invasive non-endoscopic narrow vertex craniectomy, with calvarial vault remodeling followed by 2 weeks use of a cranial orthosis. On 5-month follow-up, mesocephaly was achieved.

Conclusion

Our case is well documented with native CT, 3D CT, intraoperative pictures, and 3D head scan imaging. We described our minimally invasive non-endoscopic technique that led to a rapid cranial vault remodeling with reduction of cranial orthosis need. A review of literature focused on surgical techniques is included.

Keywords

Scaphocephaly Cephalhematoma Minimal invasive technique Cranial orthosis 

Notes

Acknowledgments

We thank to Mgr. Jana Drnkova for technical assistance and preparation of the 3D head scan pictures.

Compliance with ethical standards

Informed consent

Informed consent was obtained from the next of kin.

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Martinez-Lage JF, Esteban JA, Martinez Perez M, Poza M (1984) Craniostenosis secondary to calcified subperiostal hematoma: case report. Neurosurgery 15:703–704CrossRefGoogle Scholar
  2. 2.
    Merlob P, Grunebaum M, Reisner SH (1985) Crossed sagittal-suture cephalhematoma. Brit J Radiol 58:1007–1008CrossRefGoogle Scholar
  3. 3.
    Kaiser GL, Oesch V (2009) Sagittal craniosynostosis combined with ossified cephalhematoma - a tricky and demanding puzzle. Childs Nerv Syst 25(1):103–110CrossRefGoogle Scholar
  4. 4.
    Piatt JH Jr (2010) Sagittal synostosis and ossified scalp hematoma: cause or consequence ? J Neurosurg Pediatr Jul 6(1):29–32CrossRefGoogle Scholar
  5. 5.
    Currarino G (2007) Neonatal subperiosteal cephalohematoma crossing a synostosed sagittal suture. Pediatr Radiol 37:1283–1285CrossRefGoogle Scholar
  6. 6.
    Nguyen DC, Patel KB, Woo AS, Kane AA, Smyth MD (2014) Endoscopic-assisted treatment of sagittal craniosynostosis and calcified cephalohematoma. J Craniofac Surg Nov 25(6):2127–2129Google Scholar
  7. 7.
    Liu L, Dong C, Chen L (2016) Surgical treatment of ossified cephalhematoma: a case report and review of the literature. World Neurosurgery 96:614.e7–614.e9CrossRefGoogle Scholar
  8. 8.
    Mutchnick I, Maugans T (2012) Nonendoscopic, minimally invasive calvarial vault remodeling without postoperative helmeting for sagittal synostosis. J Neurosurg Pediatr 9(3):222–227CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurosurgery, 2nd Faculty of MedicineCharles University in Prague and Motol University HospitalPrague 5Czech Republic
  2. 2.Universidade de Pernambuco (UPE)RecifeBrazil
  3. 3.Department of Clinical Medicine, Life, Health and Environmental SciencesUniversity of L’AquilaL’AquilaItaly
  4. 4.Department of Pediatrics, 2nd Faculty of MedicineCharles University and Motol University HospitalPragueCzech Republic

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