Abstract

To the Editor .— We read with interest the article by Strouse et al.1 This work provided an excellent review of intracranial hemorrhage in children with sickle cell disease (SCD). The study also identified risk factors for the development of primary hemorrhagic stroke that included hypertension, red blood cell transfusion, and corticosteroid therapy. We would like to report a case of atraumatic subarachnoid hemorrhage (SAH) with intriguing transcranial Doppler (TCD) results in a child with SCD that may add to the risk profile described in the Strouse et al article. An 8-year-old girl …

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