Spontaneous subgaleal haematoma with severe headache in two children during acute painful sickle cell crisis

Abstract

Sickle cell disease is an inherited disorder of haemoglobin formation, predominantly affecting individuals
of African, Indian, or Mediterranean descent. Acute painful episodes frequently occur in these patients
due to the blockage of small blood vessels by sickled cells, leading to tissue infarction. Two children of
Nigerian descent, presented with severe headaches during a painful crisis episode with associated
swelling on their scalps. CT imaging in both cases showed subgaleal haematoma which was managed
conservatively in addition to managing the painful crisis with a good outcome. This report highlights the
clinical presentation, diagnostic approach, and management of this uncommon complication of sickle cell
anaemia.