title: Neurosurgical intervention in a haemophilic child with a subdural and intracerebral haematoma.
abstract: A case of a 3-year-old boy with severe haemophilia A who had a successful neurosurgical drainage of a combined spontaneous left temporal subdural and intra-parenchimal haematoma is reported. Surgical intervention was required because of clinical worsening during conservative treatment with dexamethasone and factor VIII (FVIII) replacement therapy. Continuous FVIII infusion was given before, during and after the procedure. There were no surgical complications and neurological examination remains intact. Neurosurgical interventions may be reserved for special, high-risk cases, as the one presented.
authors.affiliation: Instituto Henry Moore-PROSAM, Aguer 1248, Buenos Aires, 1425, Argentina
authors.forename: M
authors.initials: M
authors.lastname: Cermelj
authors.forename: F
authors.initials: F
authors.lastname: Negro
authors.forename: E
authors.initials: E
authors.lastname: Schijman
authors.forename: A M
authors.initials: AM
authors.lastname: Ferro
authors.forename: M
authors.initials: M
authors.lastname: Acerenza
authors.forename: J
authors.initials: J
authors.lastname: Pollola
mesh_terms: D002675:Child, Preschool; D005169:Factor VIII / Q000008:administration & dosage; D006408:Hematoma, Subdural / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007262:Infusions, Intravenous; D020300:Intracranial Hemorrhages / Q000601:surgery*; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
chemical_list: D005169:Factor VIII