Shenouda Marina, Paidisetty Praneet S, Nguyen Phuong D
Ophthalmology, University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Plastic Surgery, University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Cureus. 2024 Apr 10;16(4):e57961. doi: 10.7759/cureus.57961. eCollection 2024 Apr.
We present the case of a 13-year-old male with sickle cell disease (SCD) who presented to the emergency department with a severe headache secondary to calvarial infarcts with associated epidural and subgaleal hematomas. This case was complicated by external compression of the superior sagittal sinus by the hematomas as seen on magnetic resonance imaging. Management included supportive treatment of pain and swelling. This case emphasizes skull infarctions with associated hematomas as a possible differential diagnosis for patients with SCD presenting with headaches and scalp swellings.
我们报告一例13岁患镰状细胞病（SCD）的男性病例，该患者因颅骨梗死继发严重头痛并伴有硬膜外和帽状腱膜下血肿而就诊于急诊科。磁共振成像显示，该病例因血肿导致上矢状窦受到外部压迫而变得复杂。治疗措施包括对疼痛和肿胀进行支持性治疗。该病例强调，颅骨梗死伴相关血肿可能是SCD患者出现头痛和头皮肿胀时的鉴别诊断之一。
