Indian Journal of Neurosurgery 2014; 03(03): 166-168
DOI: 10.4103/2277-9167.146835
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Massive hemopericranium following trivial trauma in a child with hypofibrinogenemia: A case report and review of the literature

Rajeev Sharma
,
Rajkumar,
Laxmi Naraian Gupta
1   Department of Neurosurgery, PGIMER, Dr. RML Hospital, New Delhi, India
› Institutsangaben

Verantwortlicher Herausgeber dieser Rubrik:
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Publikationsverlauf

Publikationsdatum:
18. Januar 2017 (online)

Abstract

Subgaleal hematoma is a potentially life-threatening extracranial bleed that occurs most commonly in neonates after difficult instrumental deliveries. Its occurrence beyond the neonatal period is rare and is often associated with head trauma involving tangential or radial forces applied to the scalp causing emissary veins traversing the subgaleal space to be ruptured. Large progressive subgaleal hematoma due to trivial head trauma in a 5-years-old child of hypofibrinogenemia with no reported literature is interesting to describe.

 
  • References

  • 1 Kichari JR, Gielkens H. Massive traumatic subgaleal haematoma. Emerg Med J 2013; 30: 344
  • 2 Kilani RA, Wetmore J. Neonatal subgaleal hematoma: Presentation and outcome - radiological findings and factors associated with mortality. Am J Perinatol 2006; 23: 41-48
  • 3 Bornikova L, Peyvandi F, Allen G, Bernstein J, Manco-Johnson MJ. Fibrinogen replacement therapy for congenital fibrinogen deficiency. J Thromb Haemost 2011; 9: 1687-1704
  • 4 Levy JH, Szlam F, Tanaka KA, Sniecienski RM. Fibrinogen and hemostasis: A primary hemostatic target for the management of acquired bleeding. Anesth Analg 2012; 114: 261-274
  • 5 Paolini R, Sartori MT, Fiorin F, Gorinati M, Boeri G, Girolami A. Perinatal intracranial hemorrhage as first manifestation of congenital hypofibrinogenemia. Clin Appl Thromb Hemost 1996; 2: 60-63
  • 6 Chhabra G, Rangarajan K, Subramanian A, Agrawal D, Sharma S, Mukhopadhayay AK. Hypofibrinogenemia in isolated traumatic brain injury in Indian patients. Neurol India 2010; 58: 756-757
  • 7 Hiippala ST, Myllyla GJ, Vahtera EM. Hemostatic factors and replacement of major blood loss with plasma-poor red cell concentrates. Anesth Analg 1995; 81: 360-365
  • 8 Rossaint R, Bouillon B, Cerny V, Coats TJ, Duranteau J, Fernandez-Mondejar E. et al Management of bleeding following major trauma: An updated European guideline. Crit Care 2010; 14: R52
  • 9 Koizumi K, Suzuki S, Utsuki S, Nakahara K, Niki J, Mabuchi I. et al A case of non-traumatic subgaleal hematoma effectively treated with endovascular surgery. Interv Neuroradiol 2010; 16: 317-321
  • 10 Panigrahi S, Mishra SS, Das S, Patra SK. Large subgaleal hematoma as a presentation of parahemophilia. J Neurosci Rural Pract 2013; 4: 240-242