Challenges in Perioperative management of spontaneous acute subdural hematoma in haemophilia patients

Authors

DOI:

https://doi.org/10.3126/njn.v19i4.38185

Keywords:

Anesthesia, Factor VIII, Haemophilia, Intracranial hemorrhage

Abstract

Intracranial hemorrhage in patients with hemophilia is associated with high mortality and morbidity. We report a case of 15 years old boy with haemophilia A, who presented with a spontaneous acute subdural hematoma and underwent craniotomy for clot evacuation. The patient also received Factor VIII infusions peri-operatively along with other measures, to decrease blood loss.

The patient presented with signs of raised intracranial pressure and received mannitol intra-operatively and postoperatively to prevent brain edema. Hypertonic saline (3 ml/kg of 3% solution) was also given over 30 minutes for brain relaxation. Recommendations for peri-operative preparation and management of haemophilia, especially in the setting of emergency major surgery were also reviewed.

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Published

2022-12-31

How to Cite

1.
Gautam S, Singhal M, Panchariya PK, Acharya J. Challenges in Perioperative management of spontaneous acute subdural hematoma in haemophilia patients . Nep J Neurosci [Internet]. 2022 Dec. 31 [cited 2024 Apr. 12];19(4):70-3. Available from: https://nepjol.info/index.php/NJN/article/view/38185

Issue

Section

Case Report