Epidural hematomas. An unusual complication of minor blunt force injury due to seizures in a patient with sickle cell disease.
Multiple subacute epidural hematomas in a patient with sickle cell disease (HbSS) are reported. The patient was a 22-year-old Black man with a history of strokes and seizures, who was unexpectedly found dead at his foster home. Scene investigation disclosed no foul play or any indication of violent activities. Autopsy findings included subgaleal contusions and bilateral epidural hematomas, but no calvarial fractures. The epidural hematomas were subacute and closely patterned to the headboard knots of the bed in which the decedent had slept. The etiology of the hematomas is minor blunt force injury secondary to the head striking against the headboard during seizures. The immediate cause of death was determined to be pneumonia and sepsis secondary to HbSS.
Wong
S W
SW
Department of Pathology, University of South Alabama College of Medicine, Mobile 36617.
Gardner
V
V
Sanger
J S
JS
D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications*; D001344:Autopsy; D016470:Bacteremia / Q000150:complications / Q000382:microbiology / Q000401:mortality; D001921:Brain / Q000473:pathology; D001930:Brain Injuries / Q000150:complications* / Q000209:etiology / Q000473:pathology; D002423:Cause of Death; D006407:Hematoma, Epidural, Cranial / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000401:mortality; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D011014:Pneumonia / Q000150:complications / Q000401:mortality; D012640:Seizures / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000209:etiology / Q000473:pathology