CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(04): 1288-1290
DOI: 10.4103/ajns.AJNS_143_19
Case Report

Spontaneous intracranial extradural hematoma secondary to hypofibrinogenemia: A rare case report

Santosh Prabhu
Department of Neurosurgery, Western India Institute of Neurosciences, Kolhapur, Maharashtra
,
Sidharth Agarwal
Department of Neurosurgery, Western India Institute of Neurosciences, Kolhapur, Maharashtra
,
Sujata Prabhu
1   Department of Neuroanesthesia, Western India Institute of Neurosciences, Kolhapur, Maharashtra
› Author Affiliations

Spontaneous extradural hematoma is a well-documented but fairly rare condition, which can be associated with conditions such as vascular malformations, sickle cell disease, metastasis to the skull, infectious diseases of the skull, coagulation disorders, and use of anticoagulants. Of these, very few cases are of life-threatening extradural hematomas in adults, where hypofibrinogenemia is the cause of bleed, without any history of trauma. In this report, we have discussed the management of such a patient.

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Cooper RP. Post traumatic intracranial mass lesion. In: Head Injury. 2nd ed. Baltimore: Williams & Wilkins; 1987. p. 238-84.
  • 2 Schneider RC, Hegarty WM. Extradural hemorrhage as a complication of otological and rhinological infections. Ann Otol Rhinol Laryngol 1951;60:197-206.
  • 3 Novaes V, Gorbitz C. Extradural hematoma complicating middle-ear infection. Report of a case. J Neurosurg 1965;23:352-3.
  • 4 Wani AA, Ramzan AU, Kirmani AR, Bhatt AR, Hamdani N, Zargar J. Idiopathic epidermoid causing spontaneous extradural hematoma: Case report. Neurosurgery 2008;62:971.
  • 5 Palta S, Saroa R, Palta A. Overview of the coagulation system. Indian J Anaesth 2014;58:515-23.
  • 6 Mannucci PM, Duga S, Peyvandi F. Recessively inherited coagulation disorders. Blood 2004;104:1243-52.
  • 7 Bornikova L, Peyvandi F, Allen G, Bernstein J, Manco-Johnson MJ. Fibrinogen replacement therapy for congenital fibrinogen deficiency. J Thromb Haemost 2011;9:1687-704.
  • 8 Peyvandi F. Epidemiology and treatment of congenital fibrinogen deficiency. Thromb Res 2012;130 Suppl 2:S7-11.
  • 9 Acharya SS, Dimichele DM. Rare inherited disorders of fibrinogen. Haemophilia 2008;14:1151-8.
  • 10 Mansour AM, Jaroudi MO. Recurrent vitreous haemorrhage and epidural haematoma in a child with hypofibrinogenaemia. BMJ Case Rep 2012;2012. pii: bcr2012006478.
  • 11 Peyvandi F, Haertel S, Knaub S, Mannucci PM. Incidence of bleeding symptoms in 100 patients with inherited afibrinogenemia or hypofibrinogenemia. J Thromb Haemost 2006;4:1634-7.
  • 12 Griffiths SJ, Jatavallabhula NS, Mitchell RD. Spontaneous extradural haematoma associated with craniofacial infections: Case report and review of the literature. Br J Neurosurg 2002;16:188-91.
  • 13 N'dri Oka D, Tokpa A, Bah A, Derou L. Spontaneous intracranial extradural hematoma in sickle cell disease. J Neurol Surg Rep 2015;76:e97-9.
  • 14 Zheng FX, Chao Y. Spontaneous intracranial extradural hematoma: Case report and literature review. Neurol India 2009;57:324-6.
  • 15 Ruschel LG, Rego FM, Milano JB, Jung GS, Silva LF Jr., Ramina R. Spontaneous intracranial epidural hematoma during rivaroxaban treatment. Rev Assoc Med Bras (1992) 2016;62:721-4.