AI Article Synopsis
- The article discusses subgaleal hematomas as a rarely considered cause of head swelling in older children, primarily linked to excessive hair styling techniques.
- It presents two cases from Juliana Children's Hospital where patients experienced head swelling and headaches, which were identified as subgaleal hematomas due to significant hair traction.
- The conclusion emphasizes the need for thorough patient evaluations to consider hair traction as a potential cause of head swelling, aiming to reduce unnecessary tests and treatments.
Article Abstract
Background: In this article we describe an underexposed cause of subgaleal hematoma in the older child. Subgaleal hematomas are well-known in the context of trauma or blood clotting disorders. International literature acknowledges excessive force during hair styling as a possible cause. Here, we present two cases to illustrate the importance of a complete patient work-up.
Case Description: Recently, two patients presented themselves at Juliana Children's Hospital, the Hague, the Netherlands, with a swelling on the head and headache with no obvious cause. Radiological imaging showed subgaleal hematomas. Upon questioning, both patients mentioned using extensive traction while styling their hair.
Conclusion: In conclusion, when analysing an older child with a swelling on the head with no obvious cause, consider the diagnoses subgaleal hematoma due to hair traction. It might be helpful to observe them styling their hair. A proper clinical review can therefore prevent over-testing and overtreatment.
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