Ghimire Prasanna, Ghimire Pragya Gautam
Department of Radiology Nepalgunj Medical College and Teaching Hospital Kohalpur Nepal.
Department of Pathology Nepalgunj Medical College and Teaching Hospital Kohalpur Nepal.
Clin Case Rep. 2023 Feb 3;11(2):e6917. doi: 10.1002/ccr3.6917. eCollection 2023 Feb.
Spontaneous extradural hematoma in Sickle cell disease is rare neurological complication with few cases reported in the English literature. We report a case of a 16-year-old male patient who was previously diagnosed with Sickle Cell Beta Thalassemia and presented with severe headache and vomiting for 3 days. An emergency CT scan of the head demonstrated right-sided acute parietal extradural hematoma with mass effect. Patient underwent emergent craniotomy with evacuation of the hematoma. Patient recovered completely. Although calvarial infarction has been associated with extradural hematoma, an absence of it makes our case distinct. A high index of suspicion should be made in SCD patients for possibility of EDH in progressive headache.
镰状细胞病中的自发性硬膜外血肿是一种罕见的神经并发症,英文文献中报道的病例很少。我们报告一例16岁男性患者,该患者先前被诊断为镰状细胞β地中海贫血,出现严重头痛和呕吐3天。头部急诊CT扫描显示右侧急性顶叶硬膜外血肿并伴有占位效应。患者接受了紧急开颅血肿清除术。患者完全康复。虽然颅骨梗死与硬膜外血肿有关,但我们的病例没有颅骨梗死,这使其具有独特性。对于患有进行性头痛的镰状细胞病患者,应高度怀疑其有发生硬膜外血肿的可能性。