Abstract

SUBGALEAL HEMATOMA: CASE REPORT

M. Durga Rohitha*, C.S. Mounika, C. Naveen Kumar, P. Parimala, R. Prudhvi Kumar, K. Supriya and B. Jwala Trivikram

ABSTRACT

Subgaleal hematoma is a rare condition, the accumulation of blood in the loose areolar tissue of the subgaleal space of the skull, is the most catastrophic complication of the instrumental delivery. It is a rare finding in older ages, usually associated with coagulation disorders, head trauma leading to skull base fractures and accidental or abusive hair pulling. Complications include periorbital necrotizing fasciitis, permanent blindness, infections and in extreme rare cases, airway obstruction. Most cases of subgaleal hematoma resolve spontaneously, without the need of aspiration. In our case report, a male patient aged 48 years was admitted with complaints of fall from bike @ 2:30pm, loss of consciousness, presence of tongue bite, abnormal right frontal region and right knee. MRI of brain revealed subgaleal hematoma was confirmed. He was treated with anti-coagulants, anti-epileptics, antibiotics and conservative treatment appeared to be a valid alternative to surgery, as hematoma resolved spontaneously within 10 days.

Keywords: SGH, conservative treatment, MRI.