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February 1961

Giant Cephalhematoma of Newborn: With Hemorrhagic Disease and Hyperbilirubinemia

Author Affiliations

From the Department of Pediatrics, University of Minnesota Hospitals, Minneapolis.

Am J Dis Child. 1961;101(2):170-173. doi:10.1001/archpedi.1961.04020030034007

Introduction  "Giant cephalhematoma" is a rare entity of the neonatal period. It has been mentioned briefly in association with hemorrhagic disease of the newborn, the first cases being those listed by Townsend in 1894.1 Clifford in 1939 tabulated 26 cases in the literature, 10 of which were his own patients.2-4 Aballi in 1959 defined the entity as one of blood spreading beneath the fascial planes of the skull like caput succedaneum, unlike the subperiosteal location of the conventional form of cephalhematoma. He added 2 patients.5 There has been no detailed article dealing specifically with the syndrome.We therefore present this case to (1) emphasize the clinical signs leading to early recognition and treatment of the disease; (2) present the complications that may occur in the syndrome, such as shock, acute anemia, and particularly hyperbilirubinemia, and (3) discuss briefly the treatment of the syndrome.

Report of Case  The patient

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