Chronic ossified subperiosteal hematoma of the skull in an 11-year-old child: a case report

Chronic ossified subperiosteal hematoma of the skull in an 11-year-old child: a case report
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DOI:
10.1007/s00381-011-1420-2
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发表时间:
2011-07-01
影响因子:
1.4
通讯作者:
Lim, Jeong-Kyu
Lim, Jeong-Kyu
中科院分区:
医学4区
文献类型:
--
作者:
Choi, Jingyu;Lee, Il-Woo;Lim, Jeong-Kyu

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颅骨骨膜下血肿最常见于新生儿的产伤或婴儿的头部损伤。骨膜下血肿也可能出现在其他情况下,如既往颅面手术、血液病或抗凝治疗[5-9]。在病理生理学上,骨膜下血肿是由颅骨的突然压迫造成的,这导致颅骨从骨膜移位,导致骨膜和颅骨外表面之间的血管撕裂。由于骨膜在缝合线处连接最紧密,因此骨膜下血肿仅限于缝合线内[1,2,10,11]。
DiscussionSubperiosteal hematomas of the skull most commonly result from birth trauma in neonates or from head injuries in infants. Subperiosteal hematomas can also appear under additional circumstances, such as previous craniofacial surgery, hematologic disease, or anticoagulation therapy [5–9]. Pathophysiologically, subperiosteal hematomas are made by sudden compression of the skull, which results in displacement of the skull from the periosteum, causing a tearing of vessels between the periosteum and the external surface of the skull. Because the periosteum is most tightly attached at the suture lines, subperiosteal hematomas are limited within the suture lines [1, 2, 10, 11].