Spontanes Subduralhämatom bei einem 18 Tage alten männlichen Neugeborenen mit schwerer Hämophilie A
- Resource Type
- Authors
- Karl-Heinz Deeg; Ralf Rauch; M. Ries; Chii-heui Chen; J. Klinge
- Source
- Klinische Pädiatrie. 210:120-124
- Subject
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Neurological examination
Jaundice
medicine.disease
Pallor
Surgery
Hematoma
Pediatrics, Perinatology and Child Health
medicine
Coagulopathy
medicine.symptom
Complication
Packed red blood cells
business
Craniotomy
- Language
- ISSN
- 1439-3824
0300-8630
Most intracranial bleedings in hemophiliacs occur in patients more than 6 months of age. In the neonatal period, this complication is rare and almost always observed in the first week of life. Based on a review of the literature, intracranial hemorrhage is an exceedingly rare occurrence in infants with hemophilia aged 2 weeks-6 months. We report on a male infant with hemophilia A who was referred to our hospital on day 18 because of pallor and jaundice. The neurological examination was normal. A cerebral ultrasound showed a left sided subdural hematoma with a shift of the midline structures to the right. Packed red blood cells (10 ml/kg) and factor VIII replacement (250 IU) were rapidly instituted and a craniotomy with evacuation of the hematoma was performed. The postoperative course was uneventful. On discharge, the neurological examination was considered normal.