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Spinal epidural hematoma in a hemophilic infant.

Authors :
Noth I
Hutter JJ
Meltzer PS
Damiano ML
Carter LP
Source :
The American journal of pediatric hematology/oncology [Am J Pediatr Hematol Oncol] 1993 Feb; Vol. 15 (1), pp. 131-4.
Publication Year :
1993

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.<br />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.<br />Results: There was rapid and complete clinical and radiographic resolution.<br />Conclusion: This case shows that selected hemophilic patients with spinal epidural hematoma can be spared surgical decompression by prompt medical attention.

Details

Language :
English
ISSN :
0192-8562
Volume :
15
Issue :
1
Database :
MEDLINE
Journal :
The American journal of pediatric hematology/oncology
Publication Type :
Academic Journal
Accession number :
8447556
Full Text :
https://doi.org/10.1097/00043426-199302000-00022