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Fluid Between Scalp And Skull :-s (Page 4)

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October 6th, 2009
fluid bubble between skin and scalp on infant
Hi,
As far as my birth it was 28hrs in labor, ending in C-section because I had lost too much fluid in the beginning therefore too much pressure was on my sons head. Another thing is that at times the fetal monitor wouldn't catch his HB because of his movements, so they ended up attaching one to his scalp during the later hours or labor. I'm beginning to wonder if this has anything to do with why he has this bubble. Did anyone else have a monitor placed on baby's head??

Anyways,
My son just developed this fluid bubble above his crown on saturday 10-3-09 in the middle of the afternoon(pretty random)which the same day he turned 2mos. At first I was worried because I wasn't sure what it was. Apparently these things can be either a cephalhematoma or caput succedaneum...which are usually benign. He just had his appointment with his pedi Monday 10-5-09 and apparently because of the way this bubble is positioned which is across the skull sutures it is not a cephalhematoma. The pedi said that usually they are either on one side of the head(R OR L) and are firm. My son's is more like a strip and is more squishy. When I heard that I became worried because the Dr then said that they wanted to make sure that it wasn't fluid leaking from the brain. He decided to have us go to the ER for a CT Scan. Apparently when an infant or any child under the age of 15 is put through a CT Scan it can cause damage to the developing brain, esp infants. This is due to the radiation used to capture the image. When I learned this, I was sure that I did not want his health being messed with, so I asked about alternatives. This leaves ultrasound and MRI. Apparently the ultrasounds can come back inconclusive because it will not tell you where the fluid is coming from, rather only verify that there is a fluid present...therefore this doesn't help me. The MRI does not use radiation, but instead magnetism but the bad thing about that is that they will need to sedate the baby because of how long the procedure will take and they need baby perfectly still...and this I totally do not want to happen since he soo young. At this point, I was told by my mom's boss (a surgeon) that it is better to see a neurologist. Then go from there because supposedly my son's pedi should have referred us to the specialist before sending us straight to the ER. So 2morrow I am going to go see my mom's boss, then have him recommend a pediatric neurologist. Hopefully this is just a typical skin N scalp situation because I don't see how something like this can occur weeks later. He has never hit his head or been dropped so this is just so weird and scary for me.


The upside is that my son has been acting his normal happy, HUNGRY, alert self during this whole thing. He has not shown any negative effects of this bubble and it doesn't hurt when it is touched. So as long as he is doing fine I can rest a little bit better at night. I'm hoping that it ends up going away on its own within a few weeks like others have mentioned.

I will update any info when I hear anything because this is something that needs to be cleared up for worried parents.
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replied October 10th, 2009
I got an answer!
Hello, My name is Kayla and my 7 week old daughter has the same fluid filled area on her scalp. Like others it is not discolored, does not bother her when I touch it and honestly seems to move all over the top of her head. Really squishy. I noticed this a couple days ago and it seemed to get WAY more noticible so yesterday I made a call to the my doctor.
I had a really long delivery and she also decided to come out sunny side up. Smile I ended up having an emergency CS unfortunately.
I went to the doctor this morning and my Doctor (has been my family's doctor since my father was young). He looked her over and smiled and told me not to worry...HUGE weight was lifted off my shoulders!! He basically explained it to me as a balloon, during the difficult labor fluid was forced to the top of her head due to pressure from pushing. after the cs she looked like she had a perfectly round head. Comparing the fluid spot to a full balloon, hard and round. After the balloon looses air or water it starts to feel squishy and loose. The same thing is happening to her "bubble". The fluid is just absorbing back. She will be and it will eventually go away completely. So DON'T WORRY!! They will be fine! Smile
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replied October 11th, 2009
UPDATE
Okay, so here is a follow up about what they said this is. I took my son to see my mom's boss on Tuesday and right when we got in he started crying to be fed, lol right on queue. So the Dr washed his hands then started examining my sons head while he was crying. When I calmed him down, the Dr. said that yes it is just a caput succedaneum. He said there are different layers in the head and the diff between this and a hematoma is which layer the bubble is in. He also said that there isn't any neurological connection to the bubble because if there was, then it would get hard and firm, just like a fontanel does when a baby cries. He said it will go away on its own. He said we can still see a neurologist, but not to rush because its not a serious condition. He basically said let nature run its course. So now we are just waiting for this bubble to completely absorb back. In the meantime try and find a specialist.

Also, my son is still acting normal, eating fine, and very playful. So far he has had this bubble for a week and during this time it has not gotten bigger. I actually think it looks a tiny, tiny bit smaller lol. I will update any more info later.
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replied October 22nd, 2009
Hello---I thought I needed to reply to this forum for two reasons. First, my wife and I went through this with our son. Second, I am a doctor, and I did a lot of looking up in the medical literature about this. So hopefully somebody out there finds my perspective useful.

My son also had a difficult labor---failed vacuum. Had a small caput (skin swelling) when he was born, but then it resolved. At 5.5 weeks, he started developing a flowing collection in his scalp, which by 7 weeks got VERY big (the size of half his head). We obviously freaked out. He had two separate ED visits, an ultrasound, an MRI, and a neurosurgeon appointment. Shockingly, very few doctors--even the pediatric neurosurgeon at a huge children's medical center-knew what was going on---everybody felt like it was "probably nothing," but was using logic, as opposed to data.

I am an adult doctor, not a kid's doctor, so I started looking this up. Found two articles in the medical literature about it. This is a subgaleal fluid collection, which is benign (goes away on its own), associated with instrumented deliveries (vacuum), and of unclear physiologic origin. It may represent an evolution of blood products related to the birth trauma; one article found evidence that this may be cerebrospinal fluid that has temporary connection with the scalp.

Regardless, both articles mention that this is self limiting, goes away on its own, intervention (i.e. drainage) probably has more complications than help (small risk of infection).

By reading this article, I honestly felt that I had become my city's expert on the situation. The pediatric neurosurgeon, high risk obstetrician, pedi ER guys---none of them knew about this...I think it is likely that doctors don't know about it because it is benign---i.e. if it has no clinical significance, it does not get studied extensively.

By 9 weeks our son's collection was getting smaller, and by 13-14 weeks it was gone. He is growing and happy, now approaching 5 months old.

My recommendations:
1. Don't freak out.
2. See a doctor. Get an ultrasound to make sure this is fluid and not something else. Get an MRI to make sure it is solely in the scalp.
3. Do whatever you can to avoid a CT---radiation is a real downside.
4. If this is a fluid collection, in the scalp only, try to relax---the medical literature does discuss this, and it does get better on its own.
5. Don't blame your doctor for not knowing about it---honestly, this is subject is obscure--not covered in textbooks or the major journals. Just ask your doctor to look up "subgaleal fluid collections" in the medical literature---this will reassure your doctor.

Hope this helps---please reply if you have any questions...
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replied October 22nd, 2009
CEPHALOHEMATOMA
This condition is called cephalohematoma. It is not harmful and usually appears after a complicated birth. The fluid has been there since birth but tends to form into a bubble at about 8-9 weeks. The body should absorb it within 2 months. Google it for more detailed information.
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replied October 26th, 2009
Hi my name is Ashley and i'm glad to report back since a few weeks ago that everything is okay!!!! We went for the ultrasound and the Dr. actually had seen this before and it was from the birth (vaccuum). He did the ultrasound just to make sure it wasnt something else and it was a relief to know the results. As your babys head grows it will gradually disapear as your babys head gets bigger. The skin was stretched and as weeks progress fluid builds up. The body will generally reabsorb it as your baby grows. Its a wonderful relief after getting that ultrasound done, so i advise parents to go through that just in case. But, i'm very happy to say that my son is 91/2 weeks old and its gone!!!! I know some babies it took longer to disapear, but it will eventually go away.Every baby grows differently. So, to all you parents that are worrying, and have gone thru what we have. Especially, with having a rough delivery. Please, stay calm and not worry. Best of luck<3
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replied October 28th, 2009
watery bump
A cephalohematoma is a collection of blood under the skin and usally hard not watery.

my son had a cephalohematoma which disapeared after he was 3 weeks old. now he has developed a watery bump at he back of the head.

Taking him to see the doctor tomorrow, but from all the other posts it's seems likley they wont know what it is.
They will probably ask us if we dropped him. But dont let that put you off your baby's health is paramount.
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replied December 3rd, 2009
squishy bump after hospitalization?
my son was 7 weeks old when we rushed him to the ER because his nose began to bleed as i was breast feeding him and his breathing was terribly shallow. VERY SCARY! a routine spinal tap, EEG, CT scan and chest xray were preformed... all came back "normal for age" but they admitted us to the women and children's unit for a mandatory 48 hours to monitor him and his blood and urine samples for bacterial growth. after two days we were discharged with no answer. (irritating) a possible seizure was suspected. We had a follow up appt with his pediatrician the next monday. His head was measuring 17 1/4 cm at 2 months old. (it was 14 3/4 when he was born) She ordered another ct scan. it came back normal but the pediatric neurologist noticed fluid between the skull and scalp. the next day we noticed a sqishy bump. Terrified we rushed back to the doctor. She assured us that it was normal and ok. She referred to it as a cephalohematoma. He was delivered by vacuum extraction with one failed attempt. It has been two weeks since the onset of squishyness =) it seems to be a little firmer, could be wishful thinking, I was told that it will eventually harden and be recycle through his body. Still waiting... i would really like to know why it took almost 9 weeks to develope... welcome to motherhood, i suppose.

ps im worried about him having two ct scans before he was 9 weeks old... im not sure what affects the radiation can have on him. his doctor ordered them and i assumed she wouldnt have done so unless it were entirely neccessary.
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replied December 18th, 2009
Totally Normal!!
My baby has it as well..it is very common in all kinds of births..not just vaccum assisted..mine was vaccum assisted birth and she is now 4 months old and still has the hematoma..its completely normal if your doctor says it is between the scalp and skull..I freaked out too but now I can sleep at night!!
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replied January 10th, 2010
hematoma?
Anymore updates to this? I promise to update my post.
My son also has the same thing - We discovered a soft, fluid-filled bump on the back of his head on Jan. 2nd. while I was shampooing his head. We took him to emergency, where the doctor who examined him said it didn't look serious. He said it was probably a hematoma from birth (which I'm not convinced of as I think we would have noticed it sooner. Also, he ended up being a c-section baby, although I did go through about 20 hours of labour with approx. 1 1/2 hours of pushing, and he was sunny-side up so the doctor tried turning him with her hand. He turned himself back).
On Monday we took him to his pediatrician for a follow-up. He also wasn't concerned. He said our son is reacting really well to stimuli like light etc. and seems perfectly fine. He felt the bump thorougly and is convinced it's confined between the scalp and skin, and not affecting the brain at all. He said it probably wasn't from birth, but maybe a hematoma from bumping his head on something. I don't know how he could have done that as he's constantly with us, and even sleeps in his crib in our room. The only thing I can think of is perhaps he knocked it slightly while we were bathing him. He's very squirmy. He's 3 1/2 months old, and has been developing really well. He's very interactive and smiley (except for some gassy episodes occasionally after eating). He did have colic for his first 3 months. The only other thing I've noticed recently is that he has been grabbing one side of his head (not near the bump but the same side), and holding his eye periodically, although I've read that those can be symptoms of teething. Otherwise, no change at all in his behaviour. For now the doctor told us to monitor it...no tests yet, although we may end up doing an ultrasound. I'd love to read about more updates from other parents, especially if it turned out something to be more concerned about.
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replied January 24th, 2010
I am so thankful for this website. I am glad to know I am not alone. I see so many similarities with my son. He is 7 weeks old. I had a difficult deliveery. I was in labor for 15 hours. My son had his head turned sideways and kept bumping my pelvic bone and would not some out (4 hours) He was eventually vacuumed out. The vacuum did little damage and he did not have a "cone head". He did have a red ring on his head for a few days. I just noticed the fluid filled bump on his head two days ago. It was soft and squishy toward the soft spot on the back of his head. Within 2 hours it was covering the top of his head. It clearly is fluid between the scalp and skull. A quick trip to the ER and talking to our pediatrician ruled out a fracture or any sort of spinal leak or trauma. We had x-rays and ultrasound. We did not opt for the CT scan because of sedation needed and the huge amount of radiation used. CT scans use about 500 times the amount of an x-ray. Be careful! We follow up with our pediatrician tomorrow. So far all the docs say its not harming the baby its just scary to look at. My son is happy and healthy. No fever, crying, or complaints otherwise. I friend is a nurse in NJ. I called her. She says she has seen this before and it was caused by the baby getting too much fluid or sodium. The cases she saw was due to the parents not mixing powdered formula properly and it having too high a sodium content for the baby to expel quickly enough. My son urinates normally. He was a preemine (5 weeks early) but has doubled his birth weight in 7 weeks. We have been mixing Infamil powder formula. We are very careful how we mix it and use only bottled "nursery" water. My friend says the powders are not "sterile" nor are they regulated. Sure enough, it says so right on the can. The can of formula we've been using for the past week or so seems lighter in color, texture and is more foamy when we mix it. We are beginning to think its a problem with the formula. We have switched to liquid premixed formula. My nurse friend suggests glass or plastic bottles. No cans or powders. I fo to the doctor tomorrow. I am requesting the fluid in my son's bump be tested as well as the powder formula we were using. I will try to post an update once we know more. Its torture seeing my son look like this and not knowing what the cause is. Thanks to everyone for their comments. I feel somewhat better.
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replied January 26th, 2010
A quick update - 3 1/2 weeks after we discovered the bump (my son is now over 4 months old):

The bump is still there, hasn't gotten any larger, although we've noticed it's usually largest in the morning, and tends to decrease in size by evening...some days it even appears to be gone, but then comes right back.

Our son had an ultrasound today and the doctors that looked at the weren't concerned. They weren't able to detect a connection between the bump and his brain.
They think it's either a cephalohematoma, which should go away on its own, or lymphangioma (lymphatic malformation) which might never go away but isn't harmful at all. No 100% clear answer, but they don't want to do further testing at this time.

I will update again if it goes away or if we find out anything else.
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replied February 13th, 2010
fluid-filled discs on infant's head
Hi - I'd like to add in the discussion. Our son is 3 months old. I didn't have a terribly long labor, but our son kept hitting my pelvic bone during delivery and came out with a redish looking bruise on the back of his head. His head shape though was round and people were saying what a "perfectly shaped head" he had.
Around 4-5 weeks old, we started to notice two small fluid-filled discs on the upper right-side of his head. They are probably around the size of a nickel and are very squishy like everyone said. I've seen 3 pediatricians....no specialists...but everyone says he's fine. They don't bother him, he's growing and eating and developing normally, so not to worry about it.
As a mom, though, it's very hard. I worry about his health first and foremost, and then unfortunatly, I can't help but think that other people probably think there's something wrong with him. I've had strangers say, "oh, he's got a lump up here!" REALLY? I'm his mother...I think I've noticed that. It's very frustrating.
When he's on his belly or sitting up they are not as noticable, but when he's on his back or being held cradle-style in someone's arms, it's much more noticable.
When I google it, it says they usually disappear around month 3. Well we're on month 3 and I don't see them starting to harden (or re-absorb.)
I hope everyone will keep us updated and keep posting. So few doctors know anything about this...I've had no choice but to turn to other parents who have gone through this or who are currently experiencing this.
Thanks everyone.
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replied March 7th, 2010
Anyone have any updates? My son is nearly 4 mos old and these lumps aren't going anywhere. I'm tired of doctors brushing me off telling me "it's nothing serious" and yet they act like they have no idea what they are. If that's the case, how do they know they're not serious!?
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replied March 27th, 2010
My son is 13 weeks old and has the same thing, a large soft bubble on his head just behind the front soft spot and is over the one in the rear of his head. The docs were very "intersted" in this. Said that it would re-obsorb. But then it got bigger and now seems like the veins in the front of his head are darker. I took him to his peids doc (after a failed attempt at the ER) and they are referring us to a nerosuregon. I was preeclamptic, enduced, pushed for three hours, had 3 failed vaccum extractor attempts, and a c-section. If there is "nothing to worry about" why are so many Docs sending these babies to nurosurgeons? And it seems like there might be something that is causing this other than blood vessels. Fluid, what kind of fluid...if it were blood vessels it'd be blood pooling under the skin causeing a bruise like color....wouldn't it? I'm not stopping the worry until I have some answers.
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replied March 31st, 2010
I haven't posted here before but here is our story from start to finish which will hopefully reassure some people who are going through this.

A soft / fluidy lump appeared overnight on the top of our 10 wk babies head about the circumfrance of a 50p piece - obviously worried we took him to the doctor who didn't seem concerned but asked us to come back in 2 weeks

About a week later we took him back as we were worried it was getting bigger so they referred us to the local hospital to see a peadiatric consultant. Several weeks after waiting for an appointment we saw the consultant who said it was a cyst, and concerned there was a similar cyst inside the skull, referred us to a peadatric neurosurgeon at the Children's Hospital with a view to getting a ct scan.

Whilst waiting another month or so for the appointment with the neurosurgeon, the lump dissapeared, but we went to the appointment anyway just to be on the safe side.

The neurosurgeon had seen this many times before and described just what others have on this forum, that it was the result of a difficult labour (+24 hours ending in C section), that it usually appears around 8-12 weeks, and then after several weeks / months dissapears, and that it is nothing to worry about!

I hope this helps put people's mind at ease, as reading other posts on this board did mine when we came across this ourselves.
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replied June 22nd, 2010
Ok so reading all of this has somewhat put my mind at a little rest. I am going through the same thing with my baby boy who is 11 weeks old and I had no idea what was wrong!! I knew he hadnt bumbed his head or been hurt so I was freaked out by where this bumb came from! we went for our ultra sound and xrays today and they called and said we need to do the CT Scan. I am still scared of course because what mom doesnt worry, but I think I may try the different position of sleep to see of it helps. Thank you to all of the moms who take time out of their day to share the stories!! I will follow up with any changes!!
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replied July 12th, 2010
same here ! bump on baby's head
Hi i'm very grateful to this site I didn't know as I'm french. Our baby boy was discovered the same thing on the top of his head last thursday. He turned three months last night. I freaked out and was very surprised I had not noticed it while bathing him and washing his hair. I remember that in the waiting room I was playing with him on a carpet and an older baby rolled a toy truck into his head. That was so light my baby didn't move, he just said "ah!"and I smiled at the other kid and the mom and said it was ok. I can't believe this could be the reason but maybe...
On the other hand I also had a very difficult delevery. They tried to pull him out because he was looking up and failed so I had a C section.
Joseph doesn't seem to suffer from it at all, in fact he's all normal and smily. i'm getting an ultrasound later today I'll tell you what they said.
What reassures me is that after extensive researchs on the internet I didn't find a single thing that really worried me. Usually internet is pretty scary when it comes to medical conidition, but this time it got me rather confident.
I wish you the best with your babies!
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replied July 12th, 2010
Feedback : everything is fine
The radiologist was reassuring. Everything is normal.the vacuum ( forceps actually) are the most obvious hypothesis. It's only 4mm thick. I'm sure it will be ok for your babies too. Thank you to anyone who made the waiting less stressful. Now i'm just hoping it will go back to normal quickly!Smile
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replied July 22nd, 2010
Hematoma
Same thing here - very difficult childbirth involving vacuum and forceps (both failed) resulting in an emergency c-section. My son was lodged behind the pubic bone. He had two large bruises on his head when first born - he had a caput and his skull was quite cone-shaped. At 10 weeks of age, he suddenly developed a soft, squishy, fluid-filled bump on his crown. It became larger over the last few weeks, so we went to see his pediatrician today (at 13 weeks old).
Dr. first asked if he had bumped his head, but when we said he definitely hadn't he told us that it was from the vacuum and the fact that he became stuck during childbirth. The pressure from the labour and the suction from the vacuum resulted in a hematoma (cephalohematoma). Unfortunately, there is no quick way to make it go away. It can last anywhere from a couple of weeks to a year. Eventually it will be re-absorbed into the body. It may calcify before re-absorbing, which can produce a hard, raised bump on his head. Our poor guy will have to live with a slightly misshapen head for a while.
While it looks concerning and feels horrible, apparently it is common and does not hurt the baby. Either way, if you are noticing this on your child, I would still see your pediatrician to rule out anything more serious. Good luck all!
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