Subgaleal and Epidural Hematomas Secondary to Calvarial Infarcts: An Uncommon Presentation of Sickle Cell Disease

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...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-04, Vol.16 (4), p.e57961
Main Authors: Shenouda, Marina, Paidisetty, Praneet S, Nguyen, Phuong D
Format: Article
Language:English
Subjects:
Blood
Case reports
Epidural
Headaches
Hematoma
Hemoglobin
Intervention
Magnetic resonance imaging
Migraine
Pain
Patients
Pediatrics
Sickle cell disease
Sinuses
Thrombosis
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Summary: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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.57961