Case Report

Emergency Radiology

, Volume 15, Issue 4, pp 281-284

Spinal epidural hematoma in an infant as the initial presentation of severe hemophilia

  • Peter KalinaAffiliated withDivision of Neuroradiology, Department of Neurosurgery, Mayo Clinic Email author 
  • , Jonathan MorrisAffiliated withDivision of Neuroradiology, Department of Neurosurgery, Mayo Clinic
  • , Corey RaffelAffiliated withDivision of Neuroradiology, Department of Neurosurgery, Mayo Clinic

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Abstract

We describe the clinical manifestations, radiographic features, and management options of an extensive spontaneous spinal epidural hematoma in a 7-month boy who had severe hemophilia that had not been previously diagnosed, despite a baseline factor VIII level less than 1% of normal. We believe this to be the youngest reported case of a symptomatic spontaneous spinal epidural hemorrhage in an infant subsequently initially establishing a diagnosis of hemophilia.

Keywords

Epidural hematoma Hemophilia Infant MRI