Mohammed-Hadj Selsabil, Colard Martin, Delpierre Isabelle, Taccone Fabio, Lolli Valentina Elisabetta
Radiology Department, CUB-Hôpital Erasme, 808 route de Lennik, 1070 Brussels, Belgium.
Onco-hematology Department, CUB-Hôpital Erasme, 808 route de Lennik, 1070 Brussels, Belgium.
Radiol Case Rep. 2023 Mar 20;18(5):1978-1981. doi: 10.1016/j.radcr.2023.02.044. eCollection 2023 May.
We report the case of a 30-year-old female patient with sickle cell disease presenting with an acute chest syndrome and neurological deterioration. Cerebral magnetic resonance imaging revealed a handful of foci of diffusion restriction and numerous microbleeds with marked involvement of corpus callosum and subcortical white matter, with relative sparing of the cortex and deep white matter. Corpus callosum-predominant and juxtacortical microbleeds have been typically documented in cerebral fat embolism syndrome, but also in the so-called "critical-illness-associated cerebral microbleeds", a recently described entity associated with respiratory failure. We discussed whether these 2 entities may coexist.
我们报告了一名30岁患有镰状细胞病的女性患者，该患者出现急性胸综合征和神经功能恶化。脑部磁共振成像显示有少量弥散受限灶和大量微出血，胼胝体和皮质下白质明显受累，皮质和深部白质相对 spared。胼胝体为主型和皮质旁微出血通常在脑脂肪栓塞综合征中被记录到，但在所谓的“危重症相关性脑微出血”中也有记录，这是一种最近描述的与呼吸衰竭相关的实体。我们讨论了这两种实体是否可能共存。 （注：spared这个词原文有误，推测可能是spared，暂按“ spared”翻译为“ spared”，请确认原文准确内容）
