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Angiology
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Cerebellar Vermis Bleeding in a Patient with Hemophilia A

A Case Report

Takanari Kitazono

Department of Cerebrovascular Disease, St. Mary's Hospital, Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Yasushi Okada

Department of Cerebrovascular Disease, St. Mary's Hospital, Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Seizo Sadoshima

Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Hidetsuna Utsunomiya

Department of Neuroradiology, St. Mary's Hospital, Kurume

Masatoshi Fujishima

Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan

A seventeen-year-old man with hemophilia A developed nausea, vomiting, and unsteady gait after mild head trauma. Magnetic resonance imaging clearly demonstrated localized bleeding in cerebellar vermis. Quick administration of factor VIII concentrates prevented further extension of the bleeding and the patient completely recovered without neuro logic impairment. In hemophiliac patients, careful evaluation of intracranial lesions is desired after head trauma even if they show only nonspecific symptoms.

Angiology, Vol. 45, No. 4, 321-324 (1994)
DOI: 10.1177/000331979404500410
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