Pediatric radiology
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Pediatric radiology · Apr 2001
Case ReportsSickle cell disease with orbital infarction and epidural hematoma.
Although bone infarction is a common feature in sickle cell disease, the involvement of the orbit is an unusual complication. Intracranial bleeding is another uncommon and serious complication. ⋯ We report imaging findings (CT, bone scan, MRI) in a 16-year-old boy with sickle cell disease with orbital infarction and epidural hematoma. The precise cause of epidural hematoma is not well known, but it is probably related to vaso-occlusive episodes and the tearing of small vessels.
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While sedation is necessary for much pediatric imaging, there are new alternatives that may help patients hold still without medication. ⋯ The use of this video system reduced the number of children requiring sedation for MRI examination by 18%. In addition to reducing patient risk, this can potentially reduce cost.