Spinal epidural hematoma as first presentation of hemophilia A

被引:19
作者
Heer, Jagdipak S. [1 ]
Enriquez, Erwin G. [1 ]
Carter, Aaron J. [1 ]
机构
[1] Kern Med Ctr, Dept Emergency Med, Bakersfield, CA 93305 USA
关键词
spinal epidural hematoma; factor VIII deficiency; hemophilia A;
D O I
10.1016/j.jemermed.2007.02.061
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We describe a case of spinal epidural hematoma in a 12-year-old boy, who presented with the clinical triad of localized spine pain, radicular pain, and weakness. The lesion occurred as the first manifestation of a mild Factor VIII deficiency in a patient who was not previously diagnosed with hemophilia A. Early recognition of this condition and appropriate treatment with Factor VIII is imperative, along with neurosurgical consultation. It can make the difference in outcome between recovery and severe, persistent sequelae. (c) 2008 Elsevier Inc.
引用
收藏
页码:159 / 162
页数:4
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