Giant cephalhematoma following minor head injury in a patient with Ehlers-Danlos Syndrome: A case report and literature review

Year 2024, Volume: 41 Issue: 1, 215 - 217, 29.03.2024

Ervina Bejko , Mohammad Altarawneh , Salem Al-dwairy

https://izlik.org/JA69CD68DF

Abstract

Ehlers-Danlos syndrome (EDS) is an extremely rare disease characterized by connective tissue fragility. It is characterized by laxity of ligaments, leading to joint hypermobility and hyperextensibility of the skin. The fragility of the vessels and hyper extensibility of the skin may complicate the development of large soft tissue hematomas after minor trauma, which may result in serious morbidity and mortality. We report a case of giant cephalhematoma in an 11--11-year-old boy with Ehlers-Danlos syndrome following a minor head injury. The cephalhematoma increased in size within hours and extended to involve the neck and upper chest wall, resulting in hypovolemic shock and cardiac arrest.

Keywords

Cephalhaematoma , Ehler-Danlos syndrome , Head injury , Mortality

References

• McKusick VA. Heritable disorders of connective tissue. 4th ed. St. Louis, MO: CV Mosby; 1972. pp. 293–371.
• Grahame R. Ehlers-Danlos syndrome. S Afr Med J. 2016 May 25;106(6 Suppl 1):S45-6. doi: 10.7196/SAMJ.2016.v106i6.10991.
• Felton BM, White JM, Jones RA. Cephalohematoma in a patient with ehlers-danlos syndrome. West J Emerg Med. 2013;14(5):419-420. doi:10.5811/westjem.2013.1.13409
• Gurses ME, Bahadir S, Bilginer B. Traumatic subgaleal hematoma in patient with Ehlers-Danlos syndrome: A rare case report. Surg Neurol Int. 2022 Jun 23;13:265. doi: 10.25259/SNI_186_2022.
• Morel C, Rizk T, Fischer G. Giant cephalhaematoma in a 17-year-old boy with Ehlers-Danlos syndrome. Br J Neurosurg. 1998 Feb;12(1):54-5. doi: 10.1080/02688699845546.