Child health · UKMLA & AKT
Intraventricular haemorrhage
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Cephalohaematoma - bleeding between periosteum and skull; appears 2-3 days after delivery; does NOT cross suture lines; most common in parietal region; associated with instrumental delivery (e.g. ventouse); resolves over weeks
- Caput succedaneum - superficial scalp oedema; present immediately at birth; CROSSES suture lines; associated with prolonged labour; resolves within days
- Subaponeurotic (subgaleal) haematoma - bleeding not bound by periosteum; fluctuant swelling NOT limited by suture lines; can be life-threatening
The key distinguishing feature of cephalohaematoma is that it does NOT cross suture lines (periosteum is attached at sutures). Caput succedaneum crosses suture lines and is present immediately at birth - cephalohaematoma appears at 2-3 days.
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