Double Skull Appearance: A Case Report

Abstract

Cephalhematoma (CH) is less commonly encountered problem of infancy with an incidence of 1%; however calcified CHs are 5% amongst them. Calcified CHs generally present with cosmetic reasons like skull asymmetry and calvarial mass. Computerized tomography or direct X-rays help in the detection of calcified ones and help in there follow up. Follow up should be considered for cases below 2 years of age since the cranium continues to grow and there appears to be a chance of spontaneous resolution. Surgical intervention should be reserved for cases with neurological deficits or persistent lesions on follow-up. We present interesting case of calcified cephalhematoma in a child. The patient was a 6 months male child with calcified cephalhematoma who presented with cosmetic deformity of the skull but did not have any neurological deficits. CT scan revealed calcification of the hematoma causing a double skull appearance.