Successful surgical treatment of a hemophiliac infant with nontraumatic acute subdural hematoma.
Surg Neurol
; 68(5): 537-40; discussion 540, 2007 Nov.
Article
em En
| MEDLINE
| ID: mdl-17961743
ABSTRACT
BACKGROUND:
The moderate hemophiliacs usually have no spontaneous bleeding, but bleed after minor or major trauma. The proper management of intracranial hemorrhage in hemophiliac children is a challenge. CASE DESCRIPTION An 18-month-old male infant with moderate hemophilia A was admitted with fever, vomiting, and hypersomnia. There was no history of trauma or seizure. The CT scans showed an acute subdural hematoma in the right temporoparietooccipital region with midline shift and a coincidental right cerebellar arachnoid cyst. After bolus factor VIII replacement, a right temporoparietal craniotomy was performed, and the subdural hematoma was evacuated. The postoperative CT scans demonstrated no hematoma.CONCLUSIONS:
The possibility of intracranial hemorrhage in a moderate hemophiliac infant should be considered even if the patient has no history of trauma. The surgical treatment results in a successful outcome in hemophiliac children with subdural hematomas provided that an aggressive factor replacement therapy is initiated before surgery.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Hematoma Subdural Agudo
/
Hemofilia A
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Infant
/
Male
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article