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A case of Hemophilia A presenting with paraparesis following lumbar puncture

Author(s): Cahide Yılmaz | Fatmagül Başarslan | Ahmet Sami Güven | Hüseyin Çaksen | Ahmet Faik Öner | Nebi Yılmaz

Journal: Dicle Medical Journal
ISSN 1300-2945

Volume: 38;
Issue: 4;
Start page: 511;
Date: 2011;
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Keywords: Hemophilia | Paraparesis | Children | Spinal Puncture

Besides large intra-joint bleedings that are frequently observed in Hemophilia A, bleeding may also rarely occur in spinal joints. Additional to traumatic or spontaneous hematomas, cord suppression may be occured due to various reasons such as epidural tumor and infections, myelosclerosis and bone tissue suppression that occurs to the enlargement in the bone marrow because of hemolytic anemia and thalassemia. In the present study a 6 months old male who developed paraparesis as a result of spinal compression of a hematoma that occurred after lumbar puncture and then diagnosed with Hemophilia A presented on account of the present case, our aim is to emphasize that perispinal hematoma may lead to paraparesis and that paraparesis may develop due to neurological retention that is rarely seen in children with Hemophilia A.
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