Spontaneous Epidural Haematoma in Sickle Cell Anaemia: Case Report and Literature Review
We report a case of an 18-year-old boy with sickle cell anaemia (HbSS). He presented to our unit with seven days history of frontal headache which was preceded by an episode of vaso-occlusive crisis necessitating admission and blood transfusion in a peripheral hospital. There was no history of trauma or altered consciousness. The patient was fully conscious, pale and icteric but not febrile. There was no local evidence of head trauma and no neurologic signs. Coagulation studies results were within normal limit. His packed cell volume on admission was 19%. A computerized tomography (CT) scan of the brain done due to non resolution of headache revealed a right frontal hyper dense biconvex epidural lesion compressing the underlying brain suggestive of EDH. There was no skull fracture, osteomyelitis or CT scan evidence of brain infarction []. The patient underwent a right frontal craniotomy and evacuation of EDH under general endotracheal anaesthesia. Intraoperatively, the skull appeared grossly normal and the patient had an uneventful postoperative recovery with complete resolution of headache. He was discharged after 11 days of hospital admission. He has remained symptom free 2 years post operatively. Post operative CT scan showed complete evacuation of Haematoma [].