[Spontaneous subdural hematoma in a 18-day-old male newborn infant with severe hemophilia A]

Klin Padiatr. 1998 May-Jun;210(3):120-4. doi: 10.1055/s-2008-1043862.
[Article in German]

Abstract

Most intracranial bleedings in hemophiliacs occur in patients more than 6 months of age. In the neonatal period, this complication is rare and almost always observed in the first week of life. Based on a review of the literature, intracranial hemorrhage is an exceedingly rare occurrence in infants with hemophilia aged 2 weeks-6 months. We report on a male infant with hemophilia A who was referred to our hospital on day 18 because of pallor and jaundice. The neurological examination was normal. A cerebral ultrasound showed a left sided subdural hematoma with a shift of the midline structures to the right. Packed red blood cells (10 ml/kg) and factor VIII replacement (250 IU) were rapidly instituted and a craniotomy with evacuation of the hematoma was performed. The postoperative course was uneventful. On discharge, the neurological examination was considered normal.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Echoencephalography
  • Hematoma, Subdural / diagnosis
  • Hematoma, Subdural / genetics*
  • Hemophilia A / diagnosis
  • Hemophilia A / genetics*
  • Humans
  • Infant, Newborn
  • Male
  • Neurologic Examination
  • Pedigree
  • Tomography, X-Ray Computed