1. Spinal epidural hematoma in a hemophilic infant.
- Author
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Noth I, Hutter JJ, Meltzer PS, Damiano ML, and Carter LP
- Subjects
- Factor VII therapeutic use, Hematoma, Epidural, Cranial therapy, Humans, Infant, Male, Treatment Outcome, Hematoma, Epidural, Cranial etiology, Hemophilia A complications, Spinal Cord Compression etiology
- Abstract
Purpose: Although intracranial hemorrhage remains a leading cause of death in hemophilia, spinal epidural hematoma is seen rarely. Decompressive laminectomy has a high associated morbidity, and recent reports have suggested that patients can be treated conservatively without surgical intervention., Patients and Methods: We present a case of spontaneous spinal epidural hematoma diagnosed by MRI scan in a 6-month-old hemophilic infant. Immediate treatment with factor VIII replacement was instituted., Results: There was rapid and complete clinical and radiographic resolution., Conclusion: This case shows that selected hemophilic patients with spinal epidural hematoma can be spared surgical decompression by prompt medical attention.
- Published
- 1993
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