Questions regarding Cephalhematoma surgery - Mothering Forums

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#1 of 22 Old 09-05-2007, 05:29 PM - Thread Starter
 
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My son is 8 weeks old and was extracted with a vaccum during labor. The cephalhematoma has calcified and the neurosurgeon recommended surgery at 3 months old. I am very nervous about this since there is not a whole lot of information on the internet.

Has you or someone you know experienced this? I don't want to do the surgery but he said that if we don't, the baby will have that bump on his head for the rest of his life.

I am desperate, please help!!!
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#2 of 22 Old 09-05-2007, 07:53 PM
 
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Wow, I've never heard of this. Do you feel it hard or is it spongy? I'd really give it a few more months - sometimes cephalahematomas take up to a few months to recover.

I wish I could offer more...perhaps a mama or provider can!
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#3 of 22 Old 09-05-2007, 08:10 PM
 
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Is the hematoma affecting him in some way? Other than aesthetically?

I've actually only seen one that required surgery. They did that baby's around 6 mos IIRC (he had some pretty significant issues OTHER than the cephalhematoma)

I'm not very helpful am I? Sorry. I just don't know why 3 months would be the magic age for correction.
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#4 of 22 Old 09-05-2007, 08:29 PM
 
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thanks for your input, BugMacGee....it helps!
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#5 of 22 Old 09-06-2007, 12:33 AM
 
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Quote:
Originally Posted by BugMacGee View Post
I just don't know why 3 months would be the magic age for correction.
As a mother to a son who has had two cranial surgeries (and 3 surgeries for both eyes) for a prematurely fused suture, I was told the magic number for surgeries having to do with the skull are timed to brain growth periods. The brain grows and provides a natural "space holder" to allow for a more successful surgery. In addition, the bones in our skulls start to ossify and get hard at this point, so the older the baby, the tougher the surgery (and perhaps not the optimal results achieved).
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#6 of 22 Old 09-06-2007, 12:46 AM
 
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Wow metromidwife! That must've been hard to go through.

It just seems like the calcified ceph. would be pretty superficial but if it is impinging on growth...then timing would be important.

Guess I've got some learnin' to do about this subject. Don't come across it as a NICU issue much.
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#7 of 22 Old 09-06-2007, 01:03 AM
 
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Ds was born with a cephalahematoma that calcified instead of going away. I had read online that in some cases they do calcify, but that it is not a problem since they are on the surface of the skull, not going into the brain. His ped wanted him to see a neurosurgeon and have it x-rayed when he was a baby, I think about 3 or 4 months old. When I called to make the appointment they said he would either have to have a bottle or be sedated, and I was an emotional wreck at the time and said no way are either of those things going to happen (he's never had a bottle). So we just didn't go, and they never did the scan, and his ped was totally fine with that. She said it was our choice, and it was a cosmetic thing basically. He will now have a bump on his head for the rest of his life, but I preffer that to surgery just to give him a perfectly round head. No one has ever noticed it unless I pointed it out, and it has spread and flattened some as he grows. Now that he has hair it is impossible to see.

I don't really know why your doctor is recommending this surgery. Google "calcified cehpalhematoma" to see the info out there on it. From what I've read, there is no medical reason to do anything to it. It is just for cosmetic reasons. It does get smaller as they grow, even a caclifed one, so unless it is just huge or something I don't see any need to put a baby through surgery for it. Surgery is a very traumatic thing, so get some more opinions from some other doctors if you really think it might be needed. Remember, it's on the surface of the skull, so it has no effect on his brain or development, the only problem is that his head will be asymetrical.
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#8 of 22 Old 09-06-2007, 10:52 AM - Thread Starter
 
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The hematoma is hard and calcified rather quickly. I did the CT on him and even though they said that he will need a bottle, he actually didn't used it since the test was done quickly.

I know this is just cosmetics but I want to make sure that if I don't do it, I will not regret it for the rest of my life and he grows with the bump. If your baby's continues to flatten, that gives me hope. My heart and soul is telling me not to go through it.

It has been very hard to find information on the internet about it. Everything is very clinical and that is the reason why I had recur to these types of forums were moms have experienced this type of dilemma.

Thanks for your information, this helps a lot.
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#9 of 22 Old 09-06-2007, 12:14 PM
 
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I think that since your son is so young, a lot of the hematoma will still be reabsorbed, even if it is calcified. My son has a lump, but you can barely see it anymore.

Here are photos of my son, the hematoma was on his left (so the right of the photos) side of his head. There is a photo of him at 4 weeks, and one of him at 12 months, so you can see how large it was and how much it has gone down. He still has a lump if feel for it, and he is 27 months now, but you can't tell at all by looking because he has hair over it.

4 weeks

12 months

Here are a couple interesting articles about it;

http://www.drhull.com/EncyMaster/C/cephalohematoma.html

http://rad.usuhs.edu/medpix/medpix.h...0and%20Reviews

Hope that helps.
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#10 of 22 Old 09-06-2007, 12:31 PM
 
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If the cephalohematoma crosses suture lines, than it could be more than cosmetic, as a pp mentioned the ability of the skull being able to expand with brain growth is dependent upon proper suture function, as well as the presence of the anterior and posterior fontanelles (soft spots). So I can understand the urgency if there is brain growth concern.

I'd find out for sure the exact site of the hematoma and find out exactly why this is being done.

HTH!
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#11 of 22 Old 09-06-2007, 04:01 PM
 
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If it crosses suture lines it isn't a ceph, it's a caput.
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#12 of 22 Old 09-13-2007, 03:35 PM - Thread Starter
 
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Hello ladies,

I wanted to thank you for all your support and information. Last Friday we had an appointment with another doctor and his recommendation was not to do the surgery. In fact, he couldn't understand why the other wanted to do the surgery.

He wants to see him in 3 months to check on his bump. If it hasn't gone down, then he might en up using a helmet; we'll see what happens, Please keep us in your prayers.
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#13 of 22 Old 09-13-2007, 03:45 PM
 
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I will keep him in my prayers and thoughts.

I am wondering if you tried craniosacral therapy?
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#14 of 22 Old 09-21-2007, 03:53 PM - Thread Starter
 
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I am not familiar with craniosacral therapy. What is it? The doctor recommended to have him lay down on that side of the head as much as possible.
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#15 of 22 Old 01-20-2008, 10:29 PM - Thread Starter
 
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My son's hematoma is decreasing everyday. I continue my prayers for it to disappear completely. Thank you for your prayers and advices.
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#16 of 22 Old 01-20-2008, 11:40 PM
 
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praying for you. My dd had a large one (don't know how to link photos) but it never calcified and was gone by 4months.

we called it the dorsal fin. She was quite the celebrity when I took her to visit the MWs a few weeks, then a few months after her birth. She turned 2 today so we should probably do another drop by soon

I'm very glad that you have other options now.

Carrie, The Birthteacher CCE and Doula, real mom to five; and womb-mom to G. born at 23w by emergency C. 12/09
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#17 of 22 Old 08-19-2008, 03:58 PM
 
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My 20 month old son also has a calsified cepelahematoma. we were told it would go away in a month, than 3 months than by 12 months and it never has. Not even gone down.
We have had 3 x-rays and seen a neuro surgen who said his brain development is fine and its only cosmetic. His head is in the 95th percentile for size because of the bump, the rest of his size is average. They said they could do a surgery to reshape in a few years,it but the discription was horrific to me. Me husband is pushing me to have it done but I am too afraid. He thinks that it will affect him emotionally in life. I am not sure. It is noticable to the eye even with his longish hair. Every doctor we see just for coughs and things, get worried and ask the whole history behind it everytime. So I am thinking it must appear unusual to other people, I am used to it. Any suggestions or related experience would be helpful. Has anyone had a child with one go down considerably with growth and age?
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#18 of 22 Old 02-11-2009, 12:02 PM
 
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Any new info on this, we may be facing same decision, please help? Our son has calicified Cephalhematoma, 9.5cm x 4 cm, at 6 weeks. The specialist we say wants to wait 2 months and if it is still there do surgery. They did not do a CT test or x-ray, which kind of surprized me so they must not be worried too much about brain growth as this point. We really do not want surgery on the little guy unless it is neccesary. These specialist seemed overly concerned about the cosmetic nature of it. I would say it is pretty similar to the pictures posted by Jennica...
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#19 of 22 Old 02-11-2009, 01:03 PM
 
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so I would ask the surgeon - what are the concerns? what are the benefits vs risks of the procedure can it be done at some later date? what could/would happen if let alone and not treated?
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#20 of 22 Old 02-11-2009, 03:59 PM - Thread Starter
 
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Hello everyone!

My son is 19 months now and he still has the bump but not as noticeable as before. When we visited the another neurosurgeon he recommended not to do the surgery so we didn't. He has been fine and the bump continues to be reshaping and getting smaller. I guess it all depends on the size of the bump. We trusted the Lord in this situation. The doctor continues to see him yearly to ensure that we don't have to make any surgery. So far it is good.

My recommendation is to always look for a second opinion in this situation. It is still a surgery and they are too little to go through that. I will pray for you and thank you all for your prayers. I know how desperate it is but believe me, your baby will be ok.
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#21 of 22 Old 02-11-2009, 09:56 PM
 
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I have seen a couple of these calcified cephalhematomas in my work in the NICU. One poor little baby even had two large ones, one on each side of his head. Our neonatologists never seem too concerned with them and say they will slowly resolve with time.

Even if there is always a small bump, I think I would prefer that to any sort of surgery. Having taken care of many surgical babes, I would only subject my baby to the pain and risks of surgery if medically, not cosmetically, indicated.
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#22 of 22 Old 06-19-2014, 02:04 AM
 
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cephlohematos

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Originally Posted by mwherbs View Post
so I would ask the surgeon - what are the concerns? what are the benefits vs risks of the procedure can it be done at some later date? what could/would happen if let alone and not treated?
my son who is 8 weeks old now has bumps due to cephlohematos, and doc says that the bump will reduce automatically in course of time. but iam worried too much and can some one tell me whether it will go automatically. also i have a fear that whether the bump will grow day by day.
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