Multifocal Calvarial Infarction with Epidural Hemorrhage in a Patient with Sickle Cell Vaso-Occlusive Crisis: A Case Report

Author(s):  
Vishaal Gudla ◽  
Thomas Presenza ◽  
Emily Scattergood ◽  
Jason Solomon

AbstractWhile primarily a hematologic disease, sickle cell anemia is notorious for its multisystemic manifestations, particularly in episodes of vaso-occlusive crisis. Multifocal acute calvarial infarction with associated epidural hemorrhage has rarely been reported in sickle cell vaso-occlusive crisis. In this article, we reported a unique case of a 15-year-old male presenting with sickle cell vaso-occlusive crisis and neuroimaging findings of multifocal calvarial bone infarction and epidural hemorrhage. Radiologists and clinicians should be cognizant of this rare complication of sickle cell anemia to ensure appropriate diagnosis and timely treatment.

2018 ◽  
Vol 22 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Rohini Komarla ◽  
Bruno P. Soares ◽  
Joshua J. Chern ◽  
Sarah S. Milla

Spontaneous epidural hematoma (EDH) is a rare occurrence in patients with sickle cell disease, with a small number of cases reported. Appropriate diagnosis is critical, because rapid neurosurgical intervention may be required. This unique case illustrates clinical and MRI features of an 18-year-old woman presenting with a headache and subsequent progression to severe focal neurological symptoms. Imaging demonstrated a large EDH of mixed signal characteristics and underlying calvarial infarction, requiring emergency decompression and evacuation. A second companion case is also presented. The authors discuss proposed pathophysiology of the formation of EDHs in sickle cell anemia.


2019 ◽  
Vol 18 (2) ◽  
Author(s):  
O.S. Dias Neto ◽  
K.S.F. e Silva ◽  
A.M. Barbosa ◽  
D.A. Rodrigues ◽  
M.H. Lagares ◽  
...  

1925 ◽  
Vol 18 (11) ◽  
pp. 795-796 ◽  
Author(s):  
S Chaille Jamison

2021 ◽  
Vol 8 (6) ◽  
Author(s):  
Kotnala S ◽  
◽  
Wadhawan S ◽  
Parmar GM ◽  
◽  
...  

Acute respiratory distress can be life threatening if proper management is delayed. The cause of respiratory distress needs to be diagnosed quickly in order to administer appropriate and timely treatment. However, it is sometimes difficult to tease out various conditions that can present as acute respiratory distress. We present such a unique case of acute respiratory distress in a patient with anemia. We show how the ability to differentiate between cardiogenic and non-cardiogenic pulmonary edema can help in diagnosis and appropriate timely management of acute respiratory distress.


2016 ◽  
Vol 3 (2) ◽  
pp. 92-94 ◽  
Author(s):  
Mark Malamood ◽  
Gregory Bernstein ◽  
Zubair Malik ◽  
Malini Mathur

Blood ◽  
1951 ◽  
Vol 6 (4) ◽  
pp. 365-371 ◽  
Author(s):  
DONALD SHOTTON ◽  
CHARLES L. CROCKETT ◽  
BYRD S. LEAVELL

Abstract 1. A case of sickle cell anemia who had numerous hemolytic crises and also hypersplenic effects such as pancytopenia was treated by splenectomy with marked improvement in general condition and in the blood. The literature relating to this subject is reviewed. Those cases with the largest spleens appear to have shown the most striking degrees of improvement. 2. In cases of sickle cell anemia showing various indications of hypersplenism, and excessive hemolysis, splenectomy may be a rational therapeutic procedure.


2008 ◽  
Vol 71 (2) ◽  
pp. 262-264 ◽  
Author(s):  
Fernando Procianoy ◽  
Mauro Brandão Filho ◽  
Antonio Augusto Velasco e Cruz ◽  
Victor Marques Alencar

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