Glossary entry

Russian term or phrase:

гематома волосистой части головы

English translation:

Subgaleal hematoma

Added to glossary by Drunya
Apr 11, 2003 03:14
21 yrs ago
Russian term

volosistaja chast\' golovy

Russian to English Medical
Diagnoz: gematoma volosistoj chasti golovy.

Is "hair bearing part of head" OK or is there a REAL term for this? Thanks in advance.

Proposed translations

+2
5 hrs
Selected

Subgaleal hematoma

That's if you are talking about a grown-up. "Scalp hematoma" is usually reserved for a newborn.

References:

1) Marx: Rosen's Emergency Medicine: Concepts and Clinical Practice, 5th ed., 2002.

"The scalp consists of five tissue layers. The dermis is the outermost layer and is among the thickest layers of skin on the body. The underlying subcutaneous tissue contains the hair follicles and the rich blood supply of the scalp. The large blood vessels of the scalp do not fully constrict if they are lacerated and can be the source of significant blood loss. The middle scalp layer is the galea, which is made of tough fascial tissue. It contains the occipitofrontalis and temporoparietalis muscles, which move the scalp backward and forward, elevate the eyebrows, and wrinkle the forehead. Under the galea is a loose areolar tissue layer. Because the areolar attachments to the rest of the scalp are loose, scalp avulsions frequently occur through this layer. This is also the site for development of _subgaleal_ _hematomas_, which can become quite large because blood easily dissects through the loose areolar tissue."

2) Rakel: Conn's Current Therapy 2003, 55th ed, 2003

"Subgaleal hematomas require no therapy and resolve in a matter of days. Needle drainage should be avoided to minimize the risk of infection. Scalp abrasions require thorough cleansing and tetanus prophylaxis assessment. Scalp lacerations should be cleaned, dйbrided, and sutured promptly. The galea is extremely vascular, and exsanguination will occur if it is not carefully sutured."
Peer comment(s):

agree Martinique : верно; а те, которые у новорожденных, чаще называют cephalohematoma (cephalhematoma)
46 mins
Ага, а британцы, наверное, скажут "cephalohAEmatoma" ;) Thanks :)
agree protolmach
3 hrs
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4 KudoZ points awarded for this answer. Comment: "Thank you, everyone."
+10
2 mins

sculp

Diagnosis: hematoma of the sculp

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Note added at 2003-04-11 03:23:23 (GMT)
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Oops... Пардон, опечатка - scAlp
Peer comment(s):

agree Dmitry Arch
29 mins
agree Emil Tubinshlak
49 mins
agree Vanda : scalp haematoma
58 mins
agree Kirill Semenov : лечат томагавками? ;)
1 hr
agree Сергей Лузан : with Vanda
3 hrs
agree Victor Yatsishin : w/Wanda
3 hrs
agree Lesya
4 hrs
agree Wendy Cummings : yes, but scalp ,not sculp!
5 hrs
agree JoeYeckley (X)
7 hrs
agree Jack slep : Though strictly speaking the scalp is the skin covering the cranium (usually with hair).
10 hrs
Something went wrong...
7 hrs

если речь идет о родовой травме:

http://www.emedicine.com/ped/topic2836.htm

Cephalhematoma

Cephalhematoma is a subperiosteal collection of blood secondary to rupture of blood vessels between the skull and the periosteum; suture lines delineate its extent. Most commonly parietal, cephalhematoma may occasionally be observed over the occipital bone.

The extent of hemorrhage may be severe enough to cause anemia and hypotension. Resolving hematoma predisposes to hyperbilirubinemia. Rarely, cephalhematoma may be a focus of infection leading to meningitis or osteomyelitis. Linear skull fractures may underlie a cephalhematoma (5-20% of cephalhematomas). Resolution occurs over weeks, occasionally with residual calcification.

No laboratory studies usually are necessary. Skull radiography or CT scanning is used if neurologic symptoms are present. Usually, management consists of observation only. Transfusion and phototherapy are necessary if blood accumulation is significant. Aspiration is more likely to increase the risk of infection. The presence of a bleeding disorder should be considered. Skull radiography or CT scanning is also used if concomitant depressed skull fracture is a possibility.

Subgaleal hematoma

Subgaleal hematoma is bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis. Ninety percent of cases result from vacuum applied to the head at delivery. Subgaleal hematoma has a high frequency of occurrence of associated head trauma (40%), such as intracranial hemorrhage or skull fracture. The occurrence of these features does not correlate significantly with the severity of subgaleal hemorrhage.

The diagnosis is generally a clinical one, with a fluctuant boggy mass developing over the scalp (especially over the occiput). The swelling develops gradually 12-72 hours after delivery, although it may be noted immediately after delivery in severe cases. The hematoma spreads across the whole calvarium. Its growth is insidious, and subgaleal hematoma may not be recognized for hours. Patients with subgaleal hematoma may present with hemorrhagic shock. The swelling may obscure the fontanelle and cross suture lines (distinguishing it from cephalhematoma). Watch for significant hyperbilirubinemia. The long-term prognosis generally is good.

Laboratory studies consist of a hematocrit evaluation. Management consists of vigilant observation over days to detect progression. Transfusion and phototherapy may be necessary. Investigation for coagulopathy may be indicated.

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