Spontaneous Spinal Epidural Hematoma, Brown-Séquard Syndrome, and Factor Xl Deficiency
Authors: MAHMOUD H. MUSTAFA
Journal: Annals of Internal Medicine (1987)

Letters and Corrections1 March 1987Spontaneous Spinal Epidural Hematoma, Brown-Séquard Syndrome, and Factor Xl DeficiencyMAHMOUD H. MUSTAFA, M.D., RICHARD A. BERNSTEIN, M.D.MAHMOUD H. MUSTAFA, M.D.Search for more papers by this author, RICHARD A. BERNSTEIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-106-3-477_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Spontaneous spinal epidural hematoma is a rare clinical condition (1). Most patients have no underlying cause of bleeding ( 1 ). We report a case of spontaneous epidural hematoma in a woman with factor XI deficiency.A 70-year-old Jewish woman had sudden onset of severe back and neck pain with associated weakness in her arm and leg. She had no recent trauma or history of bleeding disorders. She had had an uncomplicated hysterectomy in the past. There was no family history of bleeding disorders.The physical examination revealed motor strength of three fifths in the right arm...References1. RUSSMANKAMIL BH. Spinal epidural hematoma and the Brown-Sequard syndrome. Neurology. 1971;21:1066-8. CrossrefMedlineGoogle Scholar2. ROSENTHALDRESKINROSENTHAL RON. New hemophilia-like disease caused by deficiency of a third plasma thromboplastin factor. Proc Soc Exp Biol Med 1953;82:171. CrossrefMedlineGoogle Scholar3. BUSHEVKINNAWABI MI. Factor XI deficiency in surgical patients. NY State J Med. 1979;79:1360-2. MedlineGoogle Scholar4. RAGNISINHASEAMANLEWISSPEROWALSH MDFJJP. Comparison of bleeding tendency, factor XI coagulant activity, and factor XI antigen in 25 factor XI-deficient kindreds. Blood. 1985;65:719-24. CrossrefMedlineGoogle Scholar5. KOLOUSEKIKENIGSBERGNEMERSON FWY. Activation of factor XI by activated factor X: a link between the extrinsic and intrinsic coagulation systems. FEBS Lett. 1975;50:382-3. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: The Washington Hospital Washington, DC 20010 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByFirst case of delayed traumatic intracerebral hemorrhage in a patient with undiagnosed factor XI deficiency: diagnosis and management reviewAnesthetic management using peripheral nerve block in patients with factor XI deficiency: a case reportBrown-Sequard Syndrome: A Rare Presentation of Spontaneous Cervical Spinal Epidural HaematomaCervical Epidural Haematoma Causing Brown-Sequard Syndrome: A Case ReportA surgical case of cerebral hemorrhage in a patient with factor XI deficiencyFactor XI Deficiency and Obstetrical AnesthesiaSpontaneous spinal epidural hematoma: analysis of 23 casesSpontaneous spinal extradural hematomasSpinal Epidural HematomaFactor XI deficiency and its managementAcute Nontraumatic Spinal Epidural HematomasOutcome after spontaneous spinal epidural hematoma in children: Case report and review of the literatureAcute spontaneous spinal epidural hematoma: The influence of magnetic resonance imaging on diagnosis and treatmentComplete nonsurgical resolution of a spontaneous spinal epidural hematoma10 Factor XI deficiencyCentral gadolinium enhancement of an acute spontaneous spinal epidural haematomaDéficit en facteur XI, un nouveau moyen de substitution: les concentrés humains purifiésEpidural Hematoma Producing Brown-Sequard Syndrome: A Case Due to Ruptured Hemangioma with Magnetic Resonance Imaging FindingsFactor XI deficiency: a reviewThe rarer inherited coagulation disorders: A reviewHematomas extradurales espinales espontáneosMRI in hemiballism due to Sydenham's chorea.Cervical spinal extradural haematoma causing a transient Brown-Sequard syndrome.Déficit en facteur XI de découverte préopératoireAcute spontaneous spinal epidural haematoma with temporary resolutionAcute Brown-Séquard Syndrome in a 25-Year-Old Female 1 March 1987Volume 106, Issue 3Page: 477-478KeywordsHemorrhageHysterectomyLower back pain Issue Published: 1 March 1987 PDF DownloadLoading ...