SICKLE-CELL TRAIT: A Report of a Postoperative Neurological Complication

It is widely assumed that individuals with sickle-cell trait present no anaesthetic problems with the result that sickle-cell screening is not performed in Negro patients unless they are anaemic. This complacent attitude is potentially dangerous and may be the cause of occasional postoperative morbi...

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Published inBritish journal of anaesthesia : BJA Vol. 46; no. 5; pp. 387 - 388
Main Authors DALAL, F.Y., SCHMIDT, G.B., BENNETT, E.J., RAMAMURTHY, S.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.05.1974
Subjects
Anemia, Sickle Cell - complications
Aphasia - etiology
Central Nervous System Diseases - etiology
Cerebrovascular Disorders - etiology
Child
Hemiplegia - etiology
Humans
Infarction
Male
Postoperative Complications - etiology
Sickle Cell Trait - complications
Surgical Procedures, Operative
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Summary:It is widely assumed that individuals with sickle-cell trait present no anaesthetic problems with the result that sickle-cell screening is not performed in Negro patients unless they are anaemic. This complacent attitude is potentially dangerous and may be the cause of occasional postoperative morbidity or mortality. This report is of a 12-year-old Negro patient with sickle-cell trait who was anaesthetized for an elective eye operation. After the operation, he developed signs of a haemorrhagic cerebral infarct with aphasia and hemiplegia.
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ISSN:0007-0912
1471-6771
DOI:10.1093/bja/46.5.387