Acute spontaneous intracranial epidural haematoma and disseminated intravascular coagulation in a paediatric sickle cell patient

Christopher Banerjee, June Yowtak, Diana Fridlyand, Cargill Herley Alleyne

Research output: Contribution to journalArticle

Abstract

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therapy was unable to significantly improve the patient's neurological status, and due to family wishes, care was withdrawn.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.

LanguageEnglish (US)
Article numberbcr-2018-224504
JournalBMJ Case Reports
Volume2018
DOIs
StatePublished - Jan 1 2018

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Cranial Epidural Hematoma
Disseminated Intravascular Coagulation
Hematoma
Pediatrics
Sickle Cell Anemia
Reoperation
African Americans
Emergencies

Keywords

  • neuroimaging
  • neurosurgery
  • sickle cell disease

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Acute spontaneous intracranial epidural haematoma and disseminated intravascular coagulation in a paediatric sickle cell patient. / Banerjee, Christopher; Yowtak, June; Fridlyand, Diana; Alleyne, Cargill Herley.

In: BMJ Case Reports, Vol. 2018, bcr-2018-224504, 01.01.2018.

Research output: Contribution to journalArticle

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