Sagittal craniosynostosis associated with midline cephalhematoma or vice versa, case report and a review of the literature
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Sagittal craniosynostosis associated with midline cephalhematoma is a rare finding. Despite the controversy regarding its etiopathogenesis, this condition represents a clear indication for surgery.
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.
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.
KeywordsScaphocephaly Cephalhematoma Minimal invasive technique Cranial orthosis
We thank to Mgr. Jana Drnkova for technical assistance and preparation of the 3D head scan pictures.
Compliance with ethical standards
Informed consent was obtained from the next of kin.
Conflict of interest
The authors declare that they have no conflict of interest.
- 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