[The hemophilic child. Post-traumatic cerebrospinal complications. Diagnostic protocol].
The authors report their experience on 30 hemophilic children controlled at the Pediatric Institute G. Gaslini, Genoa, Italy; among the 30 patients, there were 4 cases of hemophilia A, and 1 of Von Willebrand disease. Various degrees of trauma in different sites had caused central neurological complications. In all cases CT, both in the immediate post-traumatic phase and later on, allowed both an early diagnosis and the follow-up of hemorrhagic lesions and late complications, even in absence of significant neurologic symptomatology; medical replacement treatment and neurosurgery, when needed, allowed a positive resolution of all cases. The authors believe this early-phase and follow-up diagnostic protocol, together with strict clinical and laboratory controls, to allow a prompt interdisciplinary therapeutic approach, which has preventive aims as well.
Fondelli
M P
MP
Servizio di Radiologia, Istituto G. Gaslini, Genova Quarto.
Cama
A
A
Molinari
A
A
Salomone
G
G
Taccone
A
A
D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications; D006406:Hematoma / Q000000981:diagnostic imaging*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D013122:Spinal Diseases / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000150:complications*; D014842:von Willebrand Diseases / Q000150:complications
Il bambino emofilico. Complicanze cerebro-spinali post-traumatiche. Protocollo diagnostico.