CASE REPORT
Year : 2023 | Volume
: 43 | Issue : 1 | Page : 37--39
Conservative management for spontaneous lumbar facet joint hemarthrosis in severe hemophilia a: A rare case report
Chia-Ying Lai1, Yeu-Chin Chen2, Tsung-Ying Li3
1 Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei City, Taiwan
2 Division of Haematology/Oncology, Tri-Service General Hospital, National Defense Medical Center; Hemophilia Care and Research Center, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei City, Taiwan
3 Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center; Hemophilia Care and Research Center, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei City, Taiwan
Correspondence Address:
Dr. Tsung-Ying Li
No. 161, Section 6, Minquan E. Road, Neihu, Taipei City 114
Taiwan
Spontaneous lumbar facet joint bleeding is rarely observed in patients with hemophilia. Since it is categorized as a spinal epidural hematoma, surgery is the main treatment. Conservative treatment was successful in patients with minor or absent neurological deficits. We aimed to present the case of a patient with severe hemophilia who suffered from acute sciatica caused by lumbar facet joint hematoma. Nonsurgical treatment using a multidimensional approach was provided. The hemarthrosis is completely resolved. The patient recovered from clinical neurological symptoms without recurrence throughout the 4-year follow-up period. Spontaneous lumbar facet joint hemarthrosis in patients with severe hemophilia who present with mild neurological symptoms can be conservatively treated if the hemarthrosis is recognized early. Moreover, a multidisciplinary team approach is paramount in achieving good patient outcomes.
How to cite this article:
Lai CY, Chen YC, Li TY. Conservative management for spontaneous lumbar facet joint hemarthrosis in severe hemophilia a: A rare case report.J Med Sci 2023;43:37-39
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How to cite this URL:
Lai CY, Chen YC, Li TY. Conservative management for spontaneous lumbar facet joint hemarthrosis in severe hemophilia a: A rare case report. J Med Sci [serial online] 2023 [cited 2023 Mar 26 ];43:37-39
Available from: https://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2023;volume=43;issue=1;spage=37;epage=39;aulast=Lai;type=0 |
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