Faculty of Medicine, Universitas Diponegoro, Indonesia
BibTex Citation Data :
@article{JBTR12608, author = {Tun Paksi Sareharto and Suciati Jandraningrum and Vetty Kurniawati and Agus Priambodo and Alifiani Hikmah Putranti}, title = {Subacute Spinal Subdural Hematoma in One-Year Old Boy Due to Severe Hemophilia A}, journal = {Journal of Biomedicine and Translational Research}, volume = {7}, number = {3}, year = {2021}, keywords = {paraparesis inferior; hemophilia A; spinal subdural hematoma; factor VIII}, abstract = { Background : Paraparesis may result from a variety of or primary central nervous system conditions or systemic disorders , and although rare , it may also caused by spinal cord hemorrhage. Spontaneous spinal subdural hematomas (SSDH) are most frequently associated with coagulopathies . People with congenital clotting disorders such as hemophilia are at increased risk for experiencing spontaneous spinal subdural hemorrhage at unusual sites , which is a rare case and a neurological emergency required urgent recognition . We report a boy with paraparesis caused by subacute SSDH due to hemophili a A . Case Presentation : A 15 month - old boy , with chief complain of difficulty in moving his leg and pain when walking , physical examination revealed a lower motor neuron lesion, laboratory showed a low fa c tor VIII at 0.4% level , Magnetic Resonance Imaging ( MRI ) show ed anterior and posterior displacement of the spinal cord due to the presence of the subacute subdural hematoma extending from 1 s t cervical to 1 s t lumba r spine . He assessed with inferior paraparesis caused by subacute spinal subdural hematoma due to hemophilia A . The p atient ’s condition was improved after rece i ve d replacement therapy of factor VIII and proper laminectomy n eurosurgery . Conclusion : This case show ed an approach for a comprehensive diagnostic and management for a rare case of para pa resis due to hemophilia . Pay attention to the physical examination which shows a lower motor neuron lesion in an acute paralysis cases , there is still a possibility that it is an upper motor neuron lesion . }, issn = {2503-2178}, pages = {134--137} doi = {10.14710/jbtr.v7i3.12608}, url = {https://ejournal2.undip.ac.id/index.php/jbtr/article/view/12608} }
Refworks Citation Data :
Background: Paraparesis may result from a variety of or primary central nervous system conditions or systemic disorders, and although rare, it may also caused by spinal cord hemorrhage. Spontaneous spinal subdural hematomas (SSDH) are most frequently associated with coagulopathies. People with congenital clotting disorders such as hemophilia are at increased risk for experiencing spontaneous spinal subdural hemorrhage at unusual sites, which is a rare case and a neurological emergency required urgent recognition. We report a boy with paraparesis caused by subacute SSDH due to hemophilia A.
Case Presentation: A 15 month-old boy, with chief complain of difficulty in moving his leg and pain when walking, physical examination revealed a lower motor neuron lesion, laboratory showed a low factor VIII at 0.4% level, Magnetic Resonance Imaging (MRI) showed anterior and posterior displacement of the spinal cord due to the presence of the subacute subdural hematoma extending from 1st cervical to 1st lumbar spine. He assessed with inferior paraparesis caused by subacute spinal subdural hematoma due to hemophilia A. The patient’s condition was improved after received replacement therapy of factor VIII and proper laminectomy neurosurgery.
Conclusion: This case showed an approach for a comprehensive diagnostic and management for a rare case of paraparesis due to hemophilia. Pay attention to the physical examination which shows a lower motor neuron lesion in an acute paralysis cases, there is still a possibility that it is an upper motor neuron lesion.
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