A "neurosurgical crisis" of sickle cell disease.
The occurrence of spontaneous acute epidural hematomas is rare in patients with sickle cell disease. The authors report the case of a patient with sickle cell anemia who presented with a sickle cell crisis that was complicated by the development of multiple acute epidural and subgaleal hematomas requiring surgical evacuation. Possible underlying mechanisms are discussed. Although rare, clinicians should be aware of this phenomenon as part of a spectrum of neurological complications in these patients.
Dahdaleh
Nader S
NS
Department of Neurosurgery, University of Iowa College of Medicine, Iowa City, Iowa, USA.
Lindley
Timothy E
TE
Kirby
Patricia A
PA
Oya
Hiroyuki
H
Howard
Matthew A
MA
D000208:Acute Disease; D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000503:physiopathology*; D003399:Craniotomy; D005500:Follow-Up Studies; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures; D010296:Parietal Lobe; D011182:Postoperative Care; D012535:Scalp; D012720:Severity of Illness Index; D013710:Tendons; D014057:Tomography, X-Ray Computed