Hemophilia is a set of hereditary hemorrhagic disorders of coagulation-dysfunction that can cause repeated bleeding in various tissues and organs. And the patient can be disabled due to bleeding from bones, joints, and soft tissue, or die due to splenic rupture or intracranial bleeding. So it is crucial to detect the site of bleeding in hemophilia patients quickly. Spontaneous spinal canal hematoma is a rare complication of hemophilia, with less than 50 cases reported to date. It can be easily missed and cause serious harm to patients. Hematoma, if untreated, causes irreversible nerve damage by compression of the spinal cord. Early recognition and treatment are most useful to prevent spontaneous spinal canal hematoma. We describe the case of a 21-year-old man with severe lumbago for two days, who had hemophilia A for a decade. The patient was diagnosed with spinal subdural hematoma by magnetic resonance imaging (MRI) after ruling out other causes of lumbago and treated with drugs by a neurologist. The hematoma showed absorption by MRI after six months. In conclusion, spontaneous spinal canal hematoma is a severe complication of hemophilia, which is often missed. This successful case confirms the importance of early diagnosis and treatment of spontaneous spinal canal hematoma. We hope to increase the clinicians’ vigilance of this disease.
| Published in | Clinical Medicine Research (Volume 9, Issue 3) |
| DOI | 10.11648/j.cmr.20200903.14 |
| Page(s) | 65-68 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Hemophilia, Spinal Subdural Hematoma, MRI, Rare Case, Case Report
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APA Style
Chunjiang Yan, Ye Ye, Ruifeng Zeng, Xiaoxin Wu, Guorong Liang, et al. (2020). Spinal Subdural Hematoma in a Young Adult with Hemophilia A: A Case Report. Clinical Medicine Research, 9(3), 65-68. https://doi.org/10.11648/j.cmr.20200903.14
ACS Style
Chunjiang Yan; Ye Ye; Ruifeng Zeng; Xiaoxin Wu; Guorong Liang, et al. Spinal Subdural Hematoma in a Young Adult with Hemophilia A: A Case Report. Clin. Med. Res. 2020, 9(3), 65-68. doi: 10.11648/j.cmr.20200903.14
AMA Style
Chunjiang Yan, Ye Ye, Ruifeng Zeng, Xiaoxin Wu, Guorong Liang, et al. Spinal Subdural Hematoma in a Young Adult with Hemophilia A: A Case Report. Clin Med Res. 2020;9(3):65-68. doi: 10.11648/j.cmr.20200903.14
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Download@article{10.11648/j.cmr.20200903.14,
author = {Chunjiang Yan and Ye Ye and Ruifeng Zeng and Xiaoxin Wu and Guorong Liang and Huanmei Li},
title = {Spinal Subdural Hematoma in a Young Adult with Hemophilia A: A Case Report},
journal = {Clinical Medicine Research},
volume = {9},
number = {3},
pages = {65-68},
doi = {10.11648/j.cmr.20200903.14},
url = {https://doi.org/10.11648/j.cmr.20200903.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20200903.14},
abstract = {Hemophilia is a set of hereditary hemorrhagic disorders of coagulation-dysfunction that can cause repeated bleeding in various tissues and organs. And the patient can be disabled due to bleeding from bones, joints, and soft tissue, or die due to splenic rupture or intracranial bleeding. So it is crucial to detect the site of bleeding in hemophilia patients quickly. Spontaneous spinal canal hematoma is a rare complication of hemophilia, with less than 50 cases reported to date. It can be easily missed and cause serious harm to patients. Hematoma, if untreated, causes irreversible nerve damage by compression of the spinal cord. Early recognition and treatment are most useful to prevent spontaneous spinal canal hematoma. We describe the case of a 21-year-old man with severe lumbago for two days, who had hemophilia A for a decade. The patient was diagnosed with spinal subdural hematoma by magnetic resonance imaging (MRI) after ruling out other causes of lumbago and treated with drugs by a neurologist. The hematoma showed absorption by MRI after six months. In conclusion, spontaneous spinal canal hematoma is a severe complication of hemophilia, which is often missed. This successful case confirms the importance of early diagnosis and treatment of spontaneous spinal canal hematoma. We hope to increase the clinicians’ vigilance of this disease.},
year = {2020}
}
TY - JOUR T1 - Spinal Subdural Hematoma in a Young Adult with Hemophilia A: A Case Report AU - Chunjiang Yan AU - Ye Ye AU - Ruifeng Zeng AU - Xiaoxin Wu AU - Guorong Liang AU - Huanmei Li Y1 - 2020/06/20 PY - 2020 N1 - https://doi.org/10.11648/j.cmr.20200903.14 DO - 10.11648/j.cmr.20200903.14 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 65 EP - 68 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20200903.14 AB - Hemophilia is a set of hereditary hemorrhagic disorders of coagulation-dysfunction that can cause repeated bleeding in various tissues and organs. And the patient can be disabled due to bleeding from bones, joints, and soft tissue, or die due to splenic rupture or intracranial bleeding. So it is crucial to detect the site of bleeding in hemophilia patients quickly. Spontaneous spinal canal hematoma is a rare complication of hemophilia, with less than 50 cases reported to date. It can be easily missed and cause serious harm to patients. Hematoma, if untreated, causes irreversible nerve damage by compression of the spinal cord. Early recognition and treatment are most useful to prevent spontaneous spinal canal hematoma. We describe the case of a 21-year-old man with severe lumbago for two days, who had hemophilia A for a decade. The patient was diagnosed with spinal subdural hematoma by magnetic resonance imaging (MRI) after ruling out other causes of lumbago and treated with drugs by a neurologist. The hematoma showed absorption by MRI after six months. In conclusion, spontaneous spinal canal hematoma is a severe complication of hemophilia, which is often missed. This successful case confirms the importance of early diagnosis and treatment of spontaneous spinal canal hematoma. We hope to increase the clinicians’ vigilance of this disease. VL - 9 IS - 3 ER -
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