Spontaneous epidural hematoma secondary to bone infarction in sickle cell anemia: Case report

Rohini Komarla, Bruno P. Soares, Joshua J. Chern, Sarah S. Milla

Research output: Contribution to journalArticlepeer-review

Abstract

Spontaneous epidural hematoma (EDH) is a rare occurrence in patients with sickle cell disease, with a small number of cases reported. Appropriate diagnosis is critical, because rapid neurosurgical intervention may be required. This unique case illustrates clinical and MRI features of an 18-year-old woman presenting with a headache and subsequent progression to severe focal neurological symptoms. Imaging demonstrated a large EDH of mixed signal characteristics and underlying calvarial infarction, requiring emergency decompression and evacuation. A second companion case is also presented. The authors discuss proposed pathophysiology of the formation of EDHs in sickle cell anemia.

Original languageEnglish (US)
Pages (from-to)18-21
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Volume22
Issue number1
DOIs
StatePublished - Jul 2018

Keywords

  • Bone infarction
  • Epidural hematoma
  • Sickle cell anemia
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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