title: Spinal epidural hematoma as first presentation of hemophilia A.
abstract: We describe a case of spinal epidural hematoma in a 12-year-old boy, who presented with the clinical triad of localized spine pain, radicular pain, and weakness. The lesion occurred as the first manifestation of a mild Factor VIII deficiency in a patient who was not previously diagnosed with hemophilia A. Early recognition of this condition and appropriate treatment with Factor VIII is imperative, along with neurosurgical consultation. It can make the difference in outcome between recovery and severe, persistent sequelae.
authors.affiliation: Department of Emergency Medicine, Kern Medical Center, Bakersfield, California 93305-4197, USA.
authors.forename: Jagdipak S
authors.initials: JS
authors.lastname: Heer
authors.forename: Erwin G
authors.initials: EG
authors.lastname: Enriquez
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Carter
mesh_terms: D002574:Cervical Vertebrae; D002648:Child; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis / Q000209:etiology*; D006467:Hemophilia A / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018908:Muscle Weakness / Q000209:etiology; D019547:Neck Pain / Q000209:etiology*; D019106:Postoperative Hemorrhage / Q000209:etiology*