Advertisement

Emergency Radiology

, Volume 15, Issue 4, pp 281–284 | Cite as

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

  • Peter KalinaEmail author
  • Jonathan Morris
  • Corey Raffel
Case Report

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 

References

  1. 1.
    Kirwan R, Saigal G, Faingold R, O’Gorman A (2004) Nontraumatic acute and subacute enhancing spinal epidural hematoma mimicking a tumor in a child. Pediatr Radiol 34:499–502CrossRefPubMedGoogle Scholar
  2. 2.
    Irwin S, Attia M (2001) Atraumatic spinal epidural hematoma in an infant with hemophilia A. Pediatr Emerg Care 17:40–41CrossRefPubMedGoogle Scholar
  3. 3.
    Cuvelier GD, Davis JH, Purves EC, Wu JK (2006) Torticollis as a sign of cervico-thoracic epidural haematoma in an infant with severe haemophila A. Haemophilia 12:683–686CrossRefPubMedGoogle Scholar
  4. 4.
    Pai SB, Maiya PP (2006) Spontaneous spinal epidural hematoma in a toddler. Child’s Nerv Sys 22:526–529CrossRefGoogle Scholar
  5. 5.
    Sheikh A, Abildgaard C (1994) Medical management of extensive spinal epidural hematoma in a child with factor IX deficiency. Pediatr Emerg Care 10:26–29CrossRefPubMedGoogle Scholar

Copyright information

© Am Soc Emergency Radiol 2007

Authors and Affiliations

  1. 1.Division of Neuroradiology, Department of NeurosurgeryMayo ClinicRochesterUSA

Personalised recommendations