Spontaneous epidural and subdural hematoma in a child with afibrinogenemia and postoperative management

Blood Coagul Fibrinolysis. 2014 Jun;25(4):398-400. doi: 10.1097/MBC.0000000000000049.

Abstract

Congenital afibrinogenemia is a rare coagulation disorder that exhibits recessive inheritance. The prevalence of this disease is around 1 per 1 000 000, but it is increased in countries where consanguineous marriages are common. Umbilical cord bleeding during the neonatal period is generally the first manifestation of the disease, but a later age of onset is not uncommon. This disease may also be manifested by gastrointestinal, genitourinary, mucosal, muscular, articular, and intracranial bleeding during childhood. Intracranial hemorrhage is a rare condition, but it is the leading cause of death in patients with afibrinogenemia. In this report, we present the case of a 13-year-old female patient with afibrinogenemia who underwent an operation for spontaneous massive extradural and subdural hematoma.

MeSH terms

  • Adolescent
  • Afibrinogenemia / congenital*
  • Afibrinogenemia / surgery
  • Disease Management
  • Female
  • Hematoma, Epidural, Cranial / surgery*
  • Hematoma, Subdural / surgery*
  • Humans
  • Postoperative Period