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A Massive Extradural Hematoma in Sickle Cell Disease and the Importance of Rapid Neuroimaging
Joint Authors
Makani, J.
Iversen, Per Ole
Jacob, Mboka
Makame, Jamila
Abisay, Mclean
Yonazi, Mbonea
Schuh, Anna
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-18
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Sickle cell disease (SCD) is an inherited hemoglobinopathy leading to several serious organ complications and early death.
It is mostly found in equatorial countries like Tanzania.
Extradural hematoma (EDH) is a rare, but serious complication to SCD and may have debilitating consequences.
Hitherto, there is no report of EDH in SCD where neuroimaging has been available before, during, and after such an event.
Here, we describe a young female SCD patient who developed EDH that required surgical evacuation.
She had made full recovery after three months.
Neuroimaging performed two years prior to this event was unremarkable except for multiple small cerebral infarcts.
On admission, neuroimaging revealed a subgaleal hematoma, possibly indicating disruption of the skull cortex due to increased hematopoiesis.
Three months after evacuation of the hematoma, neuroimaging showed evidence of brain atrophy and the previously reported cerebral infarcts and multifocal bone infarction, but no vasculopathy.
Possibly, disruption of the skull cortex with subsequent bleeding caused the EDH.
As the differential diagnoses of neurological complications in SCD are many and some complications are reversible, neuroimaging should be performed without delay.
American Psychological Association (APA)
Iversen, Per Ole& Jacob, Mboka& Makame, Jamila& Abisay, Mclean& Yonazi, Mbonea& Schuh, Anna…[et al.]. 2019. A Massive Extradural Hematoma in Sickle Cell Disease and the Importance of Rapid Neuroimaging. Case Reports in Hematology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136435
Modern Language Association (MLA)
Iversen, Per Ole…[et al.]. A Massive Extradural Hematoma in Sickle Cell Disease and the Importance of Rapid Neuroimaging. Case Reports in Hematology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1136435
American Medical Association (AMA)
Iversen, Per Ole& Jacob, Mboka& Makame, Jamila& Abisay, Mclean& Yonazi, Mbonea& Schuh, Anna…[et al.]. A Massive Extradural Hematoma in Sickle Cell Disease and the Importance of Rapid Neuroimaging. Case Reports in Hematology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136435
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136435