title: Bilateral subdural hematomas, an unusual vaso-occlusive event and prolonged prothrombin time in a 58-year-old victim of an armed robbery.
abstract: Factor VII deficiency is one of the most common of rare bleeding disorders(1). This autosomal recessive disorder has a prevalence of 1:500,000 with geographic variations. Clinical manifestations vary from asymptomatic to severe mucocutaneous bleeding. According to the International Registry of Factor VII Deficiency (IRF7) epistaxis is the most common clinical manifestation. Gastrointestinal and central nervous system(CNS) bleeding are rare presentations.(2-4) We present here the case of a patient with life-threatening CNS bleeding who was found at the age of 58 years to have congenital factor VII deficiency.
authors.affiliation: Department of Hematology/Oncology, and Pathology, at the LSU Health Sciences Center in Shreveport, LA.
authors.forename: Kartik
authors.initials: K
authors.lastname: Anand
authors.affiliation: Department of Hematology/Oncology, and Pathology, at the LSU Health Sciences Center in Shreveport, LA.
authors.forename: Ryan
authors.initials: R
authors.lastname: Shows
authors.affiliation: Department of Hematology/Oncology, and Pathology, at the LSU Health Sciences Center in Shreveport, LA.
authors.forename: Diana
authors.initials: D
authors.lastname: Veillon
authors.affiliation: Department of Hematology/Oncology, and Pathology, at the LSU Health Sciences Center in Shreveport, LA.
authors.forename: Glen
authors.initials: G
authors.lastname: Mills
authors.affiliation: Department of Hematology/Oncology, and Pathology, at the LSU Health Sciences Center in Shreveport, LA.
authors.forename: Reinhold
authors.initials: R
authors.lastname: Munker
mesh_terms: D003251:Constriction, Pathologic; D019548:Crime Victims; D005168:Factor VII Deficiency / Q000097:blood / Q000000981:diagnostic imaging; D006408:Hematoma, Subdural / Q000097:blood / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011517:Prothrombin Time; D014057:Tomography, X-Ray Computed