Acute spontaneous intracranial epidural haematoma and disseminated intravascular coagulation in a paediatric sickle cell patient
| Autor: | June Yowtak, Cargill H. Alleyne, Christopher Banerjee, Diana Fridlyand |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Hematoma
Epidural Cranial Male Reoperation medicine.medical_specialty Adolescent Epidural haematoma Anemia Sickle Cell Disease Repeat Surgery 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences Fatal Outcome 0302 clinical medicine Humans Medicine African american Disseminated intravascular coagulation business.industry Neurological status General Medicine Disseminated Intravascular Coagulation medicine.disease Surgery Neurosurgery Tomography X-Ray Computed business Complication 030217 neurology & neurosurgery Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2018-224504 |
| Popis: | An African American teenage boy during an acute sickle cell crisis spontaneously developed acute bifrontal epidural haematomas (EDHs) in addition to disseminated intravascular coagulation (DIC). The successfully evacuated EDH reaccumulated postoperatively. After multiple transfusions, the patient underwent repeat surgery. Subsequent maximal medical therapy was unable to significantly improve the patient's neurological status, and due to family wishes, care was withdrawn. EDH are the most common emergent neurosurgical complication of sickle cell disease (SCD). Twenty-two such cases have been previously reported. We present one further complicated by DIC leading to reaccumulation of the patient's EDH. An understanding of the mechanisms of EDH formation in SCD and their associated radiological findings could help clinicians identify when a patient is at high risk of EDH formation and thus offer the potential for early intervention prior to the development of an emergency. |
| Databáze: | OpenAIRE |
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