Unusual Cause of Bumpy Head in Neonates: Calcified Cephalhematoma

Cephalhematomas, which are usually a complication of assisted delivery, might get calcified in a minority of newborns, resulting in a hard palpable skull swelling. This is a matter of concern for both the parents and the clinician as it might lead to osseous deformities and craniosynostosis, apart from the cosmetic deformity. Hence, its identification in the early stages might help in appropriate management of the child. We present a case of a 1 month old child with hard scalp swelling which gave an appearance of double skull on radiological examination. As the child did not have any neurological deficit, follow up was preferred as the management plan. We also discuss the complications and other management plans of this condition.