[Epidural hematoma in a child with hemophilia: diagnostic difficulties].
Spinal epidural hematoma is an uncommon complication in hemophilia.


METHODS
The cases of an extensive epidural hematoma in two boys with severe hemophilia are reported.


CONCLUSIONS
Acute onset of severe neck pain or backache leads to the diagnosis of epidural hematoma in children with hemophilia, even in the absence of neurologic symptoms. Early diagnosis is important and relies on magnetic resonance imaging. Replacement therapy is mandatory and must be prescribed before neuroradiologic imaging. Generally, children have a good neurologic outcome.
Chrétiennot-Bara
C
C
Service de pédiatrie générale, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75743 Paris, France.
Guët
A
A
Balzamo
E
E
Noseda
G
G
Torchet
M F
MF
Rothshild
C
C
Blakimé
P
P
Schmit
P
P
Schmit
J P
JP
D001416:Back Pain / Q000209:etiology; D003937:Diagnosis, Differential; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis* / Q000209:etiology; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male
Hématome épidural chez l'enfant hémophile: difficultés diagnostiques.