PMC9990766_01
PMC9990766_02
(a-h) Magnetic resonance imaging (MRI) study of the patient's brain on presentation to our institution. Select axial T2-weighted non-contrast (a), T1-weighted non-contrast (b), T1-weighted post-contrast (c), gradient echo (d), diffusion-weighted imaging (e), apparent diffusion coefficient (f), sagittal T1-weighted non-contrast (g), and coronal T1-weighted non-contrast (h) images from an MRI study of the patient's brain. Images demonstrate a large heterogeneous extracranial fluid collection overlying the left parietal skull consistent with a cephalohematoma. The collection does have some enhancement along its margins, but does not demonstrate restricted diffusion. No significant surrounding subcutaneous edema is identified. No acute intracranial findings or abnormalities noted.
SNI-14-38-g002.jpg
PMC9990766_02_SNI-14-38-g002.jpg
F2
Magnetic resonance imaging (MRI) of the brain did not reveal any acute intracranial processes or definitive signs of CH infection [Figure 2].
Documentation of patient's vital signs during his admission at our institution. Patient's body maximum temperature in  C (a) and median recorded heart rate (beats per minute; bpm) (b), as charted per nursing documentation for each 24-h period throughout the course of the patient's admission. Patient continued to be intermittently febrile (>38 C or 100.4 F; red line) and tachycardic (>160 bpm; red line) until after the patient was taken to the operating room for surgical I&D of the cephalohematoma, on his 7th day of admission to our institution (grey rectangle).
SNI-14-38-g003.jpg
PMC9990766_03_SNI-14-38-g003.jpg
F3
Our patient became afebrile on postoperative day (POD)1 and remained clinically improved for the remainder of his hospitalization [Figure 3].
PMC9990766_03
Documentation of patient's vital signs during his admission at our institution. Patient's body maximum temperature in  C (a) and median recorded heart rate (beats per minute; bpm) (b), as charted per nursing documentation for each 24-h period throughout the course of the patient's admission. Patient continued to be intermittently febrile (>38 C or 100.4 F; red line) and tachycardic (>160 bpm; red line) until after the patient was taken to the operating room for surgical I&D of the cephalohematoma, on his 7th day of admission to our institution (grey rectangle).
SNI-14-38-g003.jpg
PMC9990766_03_SNI-14-38-g003.jpg
F3
Our patient became afebrile on postoperative day (POD)1 and remained clinically improved for the remainder of his hospitalization [Figure 3].