[Uncommon etiology of extradural hematoma].
Intracranial or spinal epidural hematomas are almost always of post-traumatic origin, and rarely related to rupture of a dural vascular malformation or a hemostasis disorder. We report a case of spontaneous cerebral epidural hematoma observed in a young girl with homozygous sickle cell disease. After analysis of post-operative cerebral MRI, showing skull bone infarction inside and around the bone flap, it was considered that the skull bone infarction could be responsible for a diploic venous thrombosis with subsequent "spontaneous" epidural hematoma.
Département de Neurochirurgie, CHRU, Lille.
I
I
Cabon
J P
JP
Hladky
A
A
Lambilliotte
A
A
Cotten
P
P
Dhellemmes
D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000235:genetics / Q000503:physiopathology; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000209:etiology*; D006720:Homozygote; D006801:Humans