Spinal hematoma in the hemophiliac child:: diagnostic problems

Spinal epidural hematoma is an uncommon complication in hemophilia. Case reports.-The cases of an extensive epidural hematoma in two boys with severe hemophilia are reported. Conclusion.-Acute onset of severe neck pain or backache leads to the diagnosis of epidural hematoma in children with hemophilia, even in the absence of neurologic symptoms. Early diagnosis is important and relies on magnetic resonance imaging. Replacement therapy is mandatory and must be prescribed before neuroradiologic imaging. Generally, children have a good neurologic outcome. (C) 2001 Editions scientifiques et medicales Elsevier SAS.