False regarding cephalhematoma is: (LQ)
|A||Present few hours after birth|
|B||Does not cross suture lines|
|D||Present at birth|
Present at birth
a. Cephalhematoma is the most frequent birth-related calvarial injury, occurring in 0.4 % to 2 .49% of live births.
b. The parietal convexity is the most common site, and bilateral parietal cephalhematomas are not unusual.
c. Fractures (usually linear and non-diastatic) occur in about 5% of cases. Regardless of whether a fracture is present or not, cephalhematomas are rarely associated with significant intracranial bleeding or brain injury. The scalp swelling associated with a cephalhematoma is generally apparent at 6 hours to 24 hours of age, when the caput succedaneum has receded.
d. Palpation reveals a loosely attached, fluctuant swelling that lies over a single cranial bone and stops abruptly at the sutures.
e. Cephalhematoma is a generally benign and self-limited disorder. Most cephalhematomas are resorbed within 2-12 weeks and they require no treatment. Incision and drainage is contraindicated due to risk of introducing infection in a benign and self limiting lesion.