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Spinal epidural hematoma in a hemophilic infant
I Noth1, J J Hutter, P S Meltzer
1Department of Pediatrics, University of Arizona Health Sciences Center, Tucson 85724.
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.