Journal Article

Case report. Adenotonsillar hypertrophy: a precipitating factor of cerebrovascular accident in a child with sickle cell anaemia

YA Wali, Z Al-Lamki, H Soliman and H Al-Okbi

in Journal of Tropical Pediatrics

Volume 46, issue 4, pages 246-248
Published in print August 2000 | ISSN: 0142-6338
Published online August 2000 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/46.4.246
Case report. Adenotonsillar hypertrophy: a precipitating factor of cerebrovascular accident in a child with sickle cell anaemia

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Cerebrovascular accident is one of the most serious complications of sickle cell anaemia. The specific factors that predispose patients with sickle cell anaemia to stroke are increased disease severity, higher baseline white blood cell count and lower baseline hematocrits. Likewise the presence of a co-existent alpha thalassemia trait and/or high fetal hemoglobin (HbF%) may reduce the risk. We report a child with sickle cell anaemia and marked adenotonsillar hypertrophy resulting in obstructive sleep apnea syndrome. There was no other known risk factor for developing cerebrovascular accident in this child during her hospitalization for adenotonsillectomy.

Journal Article.  0 words. 

Subjects: Paediatrics

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