Diagnosis & Imaging

Cephalohematoma

A cephalohematoma is a collection of blood under the scalp's covering that can occur after birth and is not an encephalocele.

In short: Cephalohematoma

  • It is a birth-related scalp swelling, not an encephalocele.
  • It typically resolves on its own.
  • It is distinguished from an encephalocele by examination and, if needed, imaging.
  • It is contained within the boundaries of a skull bone.

What it is

It is a collection of blood between a skull bone and its covering membrane, usually resulting from the birth process. It appears as a scalp swelling but is not an encephalocele.

Understanding Cephalohematoma

It is a birth-related swelling that typically resolves on its own over weeks. It is distinguished from an encephalocele by examination — a cephalohematoma is contained within the boundaries of a single skull bone and is not a protrusion of brain or membranes — and, if there is any uncertainty, by imaging. Recognizing it helps avoid confusion with an encephalocele.

Why it matters

Understanding cephalohematoma helps families see that not every scalp swelling in a newborn is an encephalocele; some are benign, birth-related, and self-resolving, distinguished by examination and, if needed, imaging.

Common questions

Is a cephalohematoma an encephalocele?

No — it is a birth-related collection of blood under the scalp.

Does it resolve?

Typically yes, on its own over weeks.

How is it distinguished?

By examination and, if needed, imaging.

Bottom line

A cephalohematoma is a birth-related scalp blood collection, not an encephalocele, and usually resolves on its own.

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