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J Korean Soc Emerg Med > Volume 29(2); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(2): 231-235.
목 통증을 주소로 내원한 15세 소아 혈우병 환자에서 자발성 척수 경막외 출혈로 진단된 1례
이 현 정
순천향대학교 천안병원 응급의학과
A case report spontaneous spinal epidural hematoma diagnosed in a hemophilic child with neck pain
Hyun Jung Lee
Department of Emergency Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
Correspondence  Hyun Jung Lee ,Tel: 041-570-3859, Fax: 041-570-3924, Email: silenos@schmc.ac.kr,
Received: October 19, 2017; Revised: January 3, 2018   Accepted: January 5, 2018.  Published online: April 30, 2018.
ABSTRACT
Hemophilia is a disease that causes a hemorrhagic tendency due to a congenital deficiency of blood clotting factors. Hemorrhagic arthritis is the most common complication in hemophilia patients, and hemorrhage in various areas, such as intramuscular hemorrhage and mucosal hemorrhage, can occur. Among the most dangerous complications, central nervous system hemorrhage can occur, which is the most common cause of death in hemophiliacs. An intracerebral hemorrhage in a central nervous system hemorrhage is very rare but occurs spontaneously, and it is often traumatic. Some cases have been reported in foreign countries, but there are no cases reported in Korea. Most cases reported in foreign countries occurred in the cervical to the thoracic regions, but there are no cases in only the cervical region. This paper reports a case of spinal epidural hematoma that developed spontaneously in a child with hemophilia complaining of neck pain.
Key words: Hematoma, epidural, spinal; Hemophilia A; Pediatrics
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