EPIDURAL HEMATOMAS - AN UNUSUAL COMPLICATION OF MINOR BLUNT FORCE INJURY DUE TO SEIZURES IN A PATIENT WITH SICKLE-CELL DISEASE

Multiple subacute epidural hematomas in a patient with sickle cell dis ease (HbSS) are reported. The patient was a 22-year-old Black man with a history of strokes and seizures, who was unexpectedly found dead at his foster home. Scene investigation disclosed no foul play or any in dication of violent activities. Autopsy findings included subgaleal co ntusions and bilateral epidural hematomas, but no calvarial fractures. The epidural hematomas were subacute and closely patterned to the hea dboard knots of the bed in which the decedent had slept. The etiology of the hematomas is minor blunt force injury secondary to the head str iking against the headboard during seizures. The immediate cause of de ath was determined to be pneumonia and sepsis secondary to HbSS.