Non-traumatic spontaneous acute epidural hematoma in a patient with sickle cell disease

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dc.contributor.authorSerarslan, Yurdal
dc.contributor.authorAras, Mustafa
dc.contributor.authorAltas, Murat
dc.contributor.authorKaya, Hasan
dc.contributor.authorUrfali, Boran
dc.date.accessioned2024-09-18T20:19:48Z
dc.date.available2024-09-18T20:19:48Z
dc.date.issued2014
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractA 19-year-old female with sickle cell anemia (SCD) was referred to our hospital after two days of hospitalization at another hospital for a headache crisis. This headache crisis was due to a raised intracranial pressure; these symptoms were noted and included in her comprehensive list of symptoms. There was an acute drop in the hemoglobin and hematocrit levels. The cranial CT scan demonstrated a left fronto-parietal acute epidural hematoma (AEH) and a calvarial bone expansion, which was suggestive of medullary hematopoiesis. The patient underwent emergent craniotomy and evacuation of the hematoma. There were no abnormal findings intra-operatively apart from the AEH, except skull thickening and active petechial bleeding from the dural arteries. Repeated CT scan showed a complete evacuation of the hematoma. The possible underlying pathophysiological mechanisms were discussed. In addition to the factors mentioned in the relevant literature, any active petechial bleeding from the dural arteries on the separated surface of the dura from the skull could have contributed to the expanding of the AEH in our patient. Neurosurgeons and other health care providers should be aware of spontaneous AEH in patients with SCD. (C) 2013 Sociedad Espanola de Neurocirugia. Published by Elsevier Espana, S.L. All rights reserved.en_US
dc.identifier.doi10.1016/j.neucir.2013.08.003
dc.identifier.endpage131en_US
dc.identifier.issn1130-1473
dc.identifier.issue3en_US
dc.identifier.pmid24447643en_US
dc.identifier.scopus2-s2.0-84901412818en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage128en_US
dc.identifier.urihttps://doi.org/10.1016/j.neucir.2013.08.003
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9855
dc.identifier.volume25en_US
dc.identifier.wosWOS:000336951600004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Doyma Slen_US
dc.relation.ispartofNeurocirugiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural hematomaen_US
dc.subjectMechanismen_US
dc.subjectPathophysiologyen_US
dc.subjectSickle cellen_US
dc.subjectSickle cell diseaseen_US
dc.subjectSpontaneous epidural hematomaen_US
dc.titleNon-traumatic spontaneous acute epidural hematoma in a patient with sickle cell diseaseen_US
dc.typeArticleen_US

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