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Original Research

RMJ. 2012; 37(2): 203-205


Spontaneous extradural hematoma of cervical spine in patients with haemophilia

Riaz Ahmed Sheikh, Muddassir Javaid, Kamran Butt, Muhammad Tariq Sohail.


Abstract

Objectives: To increase the awareness amongst clinicians the possibility of spontaneous extradural Haemorrhage in patients with Hemophilia presenting with the various degree of Neurological compromise
Study Design: Descriptive case series.
Place and duration of study: Department of Orthopaedic & Spine surgery, King Edward Medical University & Mayo hospital Lahore, Pakistan from 2007 to 2009.
Patients and methods: Total 04 patients were treated. Three cases were treated surgically and one conservatively.
Results: All four patients had significant neurological recovery & achieved independent ambulatory status
Conclusion: Extradural bleed is a serious complication of Hemopilia which can lead to permanent neurological deficit if immediate intervention is not carried out. However with prompt clinical diagnosis & appropriate radiological investigation i.e. MRI, early diagnosis can be made. Surgical decompression should be done as soon as possible to minimize any residual damage to neural tissue. The adequate restoration & maintaince of deficient factor to normal level is mandatory for any kind of treatment
Key words: Hemophilia, Extradural Hematoma, Cervical Spine

Key words: Key words: Hemophilia, Extradural Hematoma, Cervical Spine






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