Child's Nervous System

, Volume 35, Issue 5, pp 875–878 | Cite as

A rare cause of scalp swelling in infancy: delayed subaponeurotic fluid collections in five cases

  • Nisa Eda Cullas IlarslanEmail author
  • Fatih Gunay
  • Seda Sahap Kaynak
  • Berna Ucan
  • Omer Suat Fitoz
  • Erdal Ince
Case Report


Subaponeurotic (subgaleal) fluid collection (DSFC) is a rare clinical entity of unknown etiology. We aimed to present our series of infants who were diagnosed with DSCF at Ankara University Children’s Hospital. We retrospectively reviewed clinical findings, imaging studies, laboratory tests, management, and clinical courses of infants diagnosed with DSCF between June 2014 and June 2018. Five infants (4 males, 1 female), aged 5–14 weeks, were identified during the study period. All deliveries were non-progressive (3 normal deliveries, 2 cesarean sections) while instrumentation (vacuum extraction or forceps) was used in 2. History of recent trauma, concern for child abuse, and family or personal history of coagulopathy were negative for all patients. Conservative management with the spontaneous resolution was observed in 2 to 12 weeks in all infants. Although rare, DSFC should always be kept in mind in the differential diagnosis of scalp swelling in young infants. The diagnosis is primarily clinical, and current treatment is conservative.


Scalp swelling in infancy Subgaleal Subaponeurotic fluid collection Traumatic delivery 



Delayed subaponeurotic (subgaleal) fluid collection


Cerebrospinal fluid


Magnetic resonance imaging




Cesarean section


Computed tomography


Author contributions

EI and NECI designed the study. NECI had the primary responsibility in the formation of the initial draft. All authors provided substantial contributions to the design of the work and the acquisition or the interpretation of the data, revised the initial draft, approved the final manuscript, and agreed to be accountable for all aspects of the work.

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PediatricsAnkara University School of Medicine, Cebeci HospitalMamak, AnkaraTurkey
  2. 2.Department of Pediatric RadiologyAnkara University School of Medicine, Cebeci HospitalAnkaraTurkey
  3. 3.Division of Pediatric Infectious Diseases, Department of PediatricsAnkara University School of Medicine, Cebeci HospitalAnkaraTurkey

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