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Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease

Extradural hematoma (EDH) in absence of trauma is a rare entity with only few cases reported in literature. The various causes reported include: Vascular malformation of dura, coagulopathies, sinus infection, middle ear or orbital infection, and tumor. Occurrence of spontaneous EDH as a complication...

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Autores principales: Mishra, Sudhansu S., Senapati, Satya B., Gouda, Amiya K., Behera, Sanjay K., Patnaik, Ashis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379803/
https://www.ncbi.nlm.nih.gov/pubmed/28413532
http://dx.doi.org/10.4103/1793-5482.144177
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author Mishra, Sudhansu S.
Senapati, Satya B.
Gouda, Amiya K.
Behera, Sanjay K.
Patnaik, Ashis
author_facet Mishra, Sudhansu S.
Senapati, Satya B.
Gouda, Amiya K.
Behera, Sanjay K.
Patnaik, Ashis
author_sort Mishra, Sudhansu S.
collection PubMed
description Extradural hematoma (EDH) in absence of trauma is a rare entity with only few cases reported in literature. The various causes reported include: Vascular malformation of dura, coagulopathies, sinus infection, middle ear or orbital infection, and tumor. Occurrence of spontaneous EDH as a complication of sickle cell disease is even much rarer. We report a case with sickle cell disease who presented with spontaneous extradural and subgaleal hematomas following an episode of vaso-oclusive crisis. He was managed successfully with surgery. The association of epidural hematomas in sickling hemoglobinopathies is reviewed. In all cases, we noticed one episode of sickle cell crisis just before the occurrence of spontaneous EDH. Perhaps this crisis puts an extra demand over the hematopoietic skull tissue disrupting inner and outer skull margins leading to spontaneous EDH and subgaleal hematoma.
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spelling pubmed-53798032017-04-14 Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease Mishra, Sudhansu S. Senapati, Satya B. Gouda, Amiya K. Behera, Sanjay K. Patnaik, Ashis Asian J Neurosurg Case Report Extradural hematoma (EDH) in absence of trauma is a rare entity with only few cases reported in literature. The various causes reported include: Vascular malformation of dura, coagulopathies, sinus infection, middle ear or orbital infection, and tumor. Occurrence of spontaneous EDH as a complication of sickle cell disease is even much rarer. We report a case with sickle cell disease who presented with spontaneous extradural and subgaleal hematomas following an episode of vaso-oclusive crisis. He was managed successfully with surgery. The association of epidural hematomas in sickling hemoglobinopathies is reviewed. In all cases, we noticed one episode of sickle cell crisis just before the occurrence of spontaneous EDH. Perhaps this crisis puts an extra demand over the hematopoietic skull tissue disrupting inner and outer skull margins leading to spontaneous EDH and subgaleal hematoma. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5379803/ /pubmed/28413532 http://dx.doi.org/10.4103/1793-5482.144177 Text en Copyright: © 2014 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Mishra, Sudhansu S.
Senapati, Satya B.
Gouda, Amiya K.
Behera, Sanjay K.
Patnaik, Ashis
Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease
title Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease
title_full Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease
title_fullStr Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease
title_full_unstemmed Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease
title_short Spontaneous extradural and subgaleal hematoma: A rare neurosurgical crisis of sickle cell disease
title_sort spontaneous extradural and subgaleal hematoma: a rare neurosurgical crisis of sickle cell disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379803/
https://www.ncbi.nlm.nih.gov/pubmed/28413532
http://dx.doi.org/10.4103/1793-5482.144177
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