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A Rare Complications of Sickle Cell Disease: Empyema and Chronic Subdural Hematoma

Author

Listed:
  • Tien Yu Song Miraulle

    (University of Antananarivo, Madagascar)

  • Bemora Joseph Synèse

    (University of Antananarivo, Madagascar)

  • Masina Ndalana D’assise

    (University of Antananarivo, Madagascar)

  • Rasolonjatovo Emilson Charles

    (University of Antananarivo, Madagascar)

  • Andriamamonjy Clément

    (University of Antananarivo, Madagascar)

  • Mamiarisoa Rabarijaona

    (University of Antananarivo, Madagascar)

  • Ratovondrainy Willy

    (University of Antananarivo, Madagascar)

Abstract

Sickle cell disease is a hemoglobinopathy responsible for many complications that are sometimes frightening. Brain damage is part of one of the complications that can affect the vital and/or functional prognosis of patients. We report two cases of neurological complications, patients with known homozygous sickle cell disease, admitted to the Resuscitation Service of the JRA University Hospital for neurological deficit of recent appearance. One presented a spontaneous bilateral chronic bilateral subdural hematoma, and the other an extradural empyema diagnosed on brain scan. The patients benefited from a neurosurgical intervention with favorable postoperative outcomes, marked by an improvement in neurological symptoms. This form of complication is relatively rare in patients with sickle cell disease. It is favoured by repeated vaso-occlusive crises responsible for vascular fragility following repeated ischemia and inflammatory phenomena. The surgical indication depends on the clinical condition and the radiological aspect

Suggested Citation

  • Tien Yu Song Miraulle & Bemora Joseph Synèse & Masina Ndalana D’assise & Rasolonjatovo Emilson Charles & Andriamamonjy Clément & Mamiarisoa Rabarijaona & Ratovondrainy Willy, 2021. "A Rare Complications of Sickle Cell Disease: Empyema and Chronic Subdural Hematoma," European Journal of Clinical Medicine, European Open Science, vol. 2(1), pages 23-25, January.
    • Handle: RePEc:epw:clinic:v:2:y:2021:i:1:id:12016
    DOI: 10.24018/clinicmed.2021.2.1.16
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