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 diagno sis of epidural hematoma in children with hemophilia, even in the absence o f 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.