J Korean Soc Emerg Med.  2018 Apr;29(2):231-235. 10.0000/jksem.2018.29.2.231.

A case report spontaneous spinal epidural hematoma diagnosed in a hemophilic child with neck pain

• Lee HJ

• KMID: 2435543
• DOI: http://doi.org/10.0000/jksem.2018.29.2.231

Abstract

Hemophilia is a disease that causes a hemorrhagic tendency due to a congenital deficiency of blood clotting factors. Hemorrhagic arthritis is the most common complication in hemophilia patients, and hemorrhage in various areas, such as intramuscular hemorrhage and mucosal hemorrhage, can occur. Among the most dangerous complications, central nervous system hemorrhage can occur, which is the most common cause of death in hemophiliacs. An intracerebral hemorrhage in a central nervous system hemorrhage is very rare but occurs spontaneously, and it is often traumatic. Some cases have been reported in foreign countries, but there are no cases reported in Korea. Most cases reported in foreign countries occurred in the cervical to the thoracic regions, but there are no cases in only the cervical region. This paper reports a case of spinal epidural hematoma that developed spontaneously in a child with hemophilia complaining of neck pain.

Keyword

Hematoma, epidural, spinal; Hemophilia A; Pediatrics

MeSH Terms

Arthritis
Blood Coagulation
Cause of Death
Central Nervous System
Cerebral Hemorrhage
Child*
Hematoma, Epidural, Spinal*
Hemophilia A
Hemorrhage
Humans
Korea
Neck Pain*
Neck*
Pediatrics