Factor X Deficiency Presenting with Bilateral Chronic Subdural HematomaSenturk S. · Guzel E. · Hasanefendioglu Bayrak A. · Bukte Y. · Guzel A.
Departments of aRadiology and bNeurosurgery, Medical School, Dicle University, and cDepartment of Radiology, Veni Vidi Hospital, Diyarbakir, Turkey
Factor X deficiency is a rare coagulation defect that can result in several hemorrhagic manifestations including central nervous system hematomas in infants and children. In this case report, we present computed tomography (CT) and magnetic resonance (MR) imaging findings of bilateral chronic subdural hematomas due to factor X deficiency. Cranial CT and MR imaging in a hypoactive 7-month-old male infant with right hemiparesis revealed bilateral chronic subdural hematomas at different stages. Laboratory findings showed a severe factor X deficiency, with a level of 0.7%. After fresh frozen plasma replacement, the patient was operated and the large hematoma on the left side evacuated. The patient recovered uneventfully and remained asymptomatic during the 1-year follow-up.
University of Dicle, Medical School
Department of Radiology
TR–21280 Diyarbakir (Turkey)
Tel. +90 412 248 8158 4314, Fax +90 412 248 8115, E-Mail firstname.lastname@example.org
This study was presented as an electronic poster at the 29th National Radiology Congress Turkrad in Antalya, Turkey, November 1–5, 2008.
Received: July 6, 2009
Accepted after revision: January 9, 2010
Published online: May 27, 2010
Number of Print Pages : 4
Number of Figures : 4, Number of Tables : 0, Number of References : 18
Vol. 46, No. 1, Year 2010 (Cover Date: June 2010)
Journal Editor: Frim D.M. (Chicago, Ill.)
ISSN: 1016-2291 (Print), eISSN: 1423-0305 (Online)
For additional information: http://www.karger.com/PNE