Acute Soft Head Syndrome (Subgaleal Haematoma) with Periorbital Oedema as a Rare Presentation in Sickle Cell Disease
| Autor: | Maan Al Harbi, Leena Abdalla, Rehab Y Al-Ansari, Nawaf Al-Jubair |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Periorbital Edema lcsh:Medicine Physical examination Disease 030204 cardiovascular system & hematology Extraocular muscles soft head syndrome sickle cell 03 medical and health sciences 0302 clinical medicine Internal Medicine medicine orbital compression syndrome medicine.diagnostic_test business.industry periorbital edema lcsh:R Articles Periorbital oedema Subgaleal haematoma Surgery medicine.anatomical_structure subgaleal hematoma Male patient Presentation (obstetrics) business 030217 neurology & neurosurgery |
| Zdroj: | Eur J Case Rep Intern Med European Journal of Case Reports in Internal Medicine (2020) |
| ISSN: | 2284-2594 |
| Popis: | BACKGROUND: Sickle cell disease is a genetic condition frequently found in Africa and the Arabian Peninsula. Uncommon complications include subgaleal haematoma (soft head syndrome) and periorbital oedema. CASE PRESENTATION: A 17-year-old male patient presented with body aches and progressive right parieto-temporal and frontal head swelling. Physical examination revealed puffiness of the right eye that progressed rapidly to reddish periorbital oedema sparing the extraocular muscle and pupil response to light. CT and MRI of the brain suggested multiple subgaleal haematomas (soft head syndrome) and right periorbital oedema. CONCLUSION: Subgaleal haematoma (soft head syndrome) and periorbital oedema are uncommon complications of sickle cell disease. Management is conservative rather than surgical. LEARNING POINTS: Subgaleal haematoma concurrently with periorbital oedema is a rare presentation of sickle cell disease. There are no guidelines on treatment, but the conditions in our patient resolved with conservative management. |
| Databáze: | OpenAIRE |
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