Abstract：
In this article we describe an underexposed cause of subgaleal hematoma in the older child. Subgaleal hematomas are well-known in the context of trauma or blood clotting disorders. International literature acknowledges excessive force during hair styling as a possible cause. Here, we present two cases to illustrate the importance of a complete patient work-up.
Recently, two patients presented themselves at Juliana Children\'s Hospital, the Hague, the Netherlands, with a swelling on the head and headache with no obvious cause. Radiological imaging showed subgaleal hematomas. Upon questioning, both patients mentioned using extensive traction while styling their hair.
In conclusion, when analysing an older child with a swelling on the head with no obvious cause, consider the diagnoses subgaleal hematoma due to hair traction. It might be helpful to observe them styling their hair. A proper clinical review can therefore prevent over-testing and overtreatment.
Recently, two patients presented themselves at Juliana Children\'s Hospital, the Hague, the Netherlands, with a swelling on the head and headache with no obvious cause. Radiological imaging showed subgaleal hematomas. Upon questioning, both patients mentioned using extensive traction while styling their hair.
In conclusion, when analysing an older child with a swelling on the head with no obvious cause, consider the diagnoses subgaleal hematoma due to hair traction. It might be helpful to observe them styling their hair. A proper clinical review can therefore prevent over-testing and overtreatment.
摘要：
背景：在本文中，我们描述了年龄较大的儿童盖下血肿的原因。在创伤或血液凝固障碍的情况下,盖下血肿是众所周知的。国际文献承认头发造型过程中过度用力是可能的原因。这里,我们提供两个案例来说明完整的患者检查的重要性.
方法：最近，两名患者出现在朱莉安娜儿童医院，海牙,荷兰,头部肿胀和头痛，没有明显原因。放射学影像学显示为盖下血肿。经询问，两名患者都提到在造型头发时使用广泛的牵引。
结论：结论：当分析一个没有明显原因的头部肿胀的大孩子时，考虑诊断由于头发牵引引起的延髓下血肿。观察他们的发型可能会有所帮助。因此，适当的临床检查可以防止过度测试和过度治疗。
方法：最近，两名患者出现在朱莉安娜儿童医院，海牙,荷兰,头部肿胀和头痛，没有明显原因。放射学影像学显示为盖下血肿。经询问，两名患者都提到在造型头发时使用广泛的牵引。
结论：结论：当分析一个没有明显原因的头部肿胀的大孩子时，考虑诊断由于头发牵引引起的延髓下血肿。观察他们的发型可能会有所帮助。因此，适当的临床检查可以防止过度测试和过度治疗。
