Emergency Radiology

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

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

Case Report


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.


Epidural hematoma Hemophilia Infant MRI 


  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

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