10-minutes after the delivery of a 37-weeks gestation neonate, he is evaluated for decreased alertness. He is born to a 28-year-old primigravida woman. The mother did not have any complications during pregnancy, but the vacuum was used after finding recurrent late deceleration. Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. Temperature is 37 C (98.6 F), the pulse is 180/min, and respirations are 42/min. Physical examination reveals a large fluctuant mass at the occiput passing toward the ears and extending over the neck. This patient's hemorrhage is most likely located between one of the following structures?

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Eductional Objective: Damage to the emissary veins found between the dural sinuses and the scalp during delivery could lead to subgleal hemorrhage. Subgleal hemorrhage is a fatal type of hemorrhage. Neonates present with progressive scalp and neck swelling accumulated between the periosteum and the galea aponeurosis. Neonates may die from blood loss and shock.

10-Minutes After the Delivery of a 37-Weeks Gestation Neonate, He