Surgical management of an enormous subgaleal hematoma accompanying occipital bone's destruction in a 30years old man with a history of hemophilia A

Publication date: Available online 20 July 2017
Source:Interdisciplinary Neurosurgery
Author(s): Wu Hao, Longwei Tan, Yong Wang, Huaxian Zhang, Ouyang Wang, Puyi Zheng, Yi Zou, Pengcheng Jin, Yiting Mv, Weizhong Ma, Kui Cai, Lingyun Tong
Enormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's absorption is an uncommon complication of hemophilia A. A 30years old man presenting scalp lump was found enormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's destruction by computed tomography (CT) scan, and laboratory examination indicated that the concentration of his factor VII was 2% of normal level. Further inquiring his medical history found that this patient has been suffering from hemophilia A diagnosed when he was 6years old. He recovered well after receiving the therapertic methods of factor VII replacement and surgical decompression. This case tells us that patient suffering from enormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's destruction and hemophilia A could recover well as long as he is well treated.



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