Calcified cephalhematoma, unusual scenario of a twin baby with spontaneous vaginal delivery

Abstract EN

Cephalhematoma is one of the most common neonatal head injuries, especially during assisted vaginal delivery.

It usually regresses within a few weeks and occasionally absorbed.

They tend to calcify in rare instances.

Follow-up of calcified cephalhematoma will either show spontaneous resolution, stationary course or progression which may cause skull deformity and would eventu-ally need surgical intervention.

We report a case of a one-month preterm twin (one boy and one girl), product of spontaneous vaginal delivery found to have a swelling on the skull.

Both twins were initially investigated for hypotonia; MRI brain revealed no intracranial abnormality.

The skull swelling was diagnosed as cephalhematoma.

Two months follow-up brain C'T scan confirmed the diagnosis of calcified cephalhematoma.

Further follow-up revealed significant regression of the cephalhematoma.