Riaz Ahmed Sheikh, Muddassir Javaid, Kamran Butt, Muhammad Tariq Sohail.
Spontaneous extradural hematoma of cervical spine in patients with haemophilia.
Rawal Med J Jan ;37(2):203-5.

Objectives: To increase the awareness amongst clinicians the possibility of spontaneous extradural hemorrhage in patients with hemophilia presenting with the various degrees of neurological compromise Patients and Methods: This descriptive case series were carried out at Department of Orthopaedic and Spine Surgery, King Edward Medical University and Mayo Hospital, Lahore, Pakistan from 2007 to 2009. A total 04 patients were treated. Three cases were treated surgically and one conservatively. Results: All four patients had significant neurological impairment and 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 diagnosis with appropriate radiological investigation i.e. MRI, surgical decompression should be done as soon as possible to minimize any residual damage to neural tissue. (Rawal Med J 2012;37:203-205).

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