Not specified, Not specified · DOI: · Published: April 13, 2025
This study presents a case of a 6-year-old boy with haemophilia who developed spinal cord compression after a fall. The report highlights the challenges in diagnosis, management, and rehabilitation due to the patient's resistance to cryoprecipitate. The patient's treatment involved managing complications such as neurogenic bladder, skin breakdown, and limited range of motion, all while considering the increased risk of bleeding. The goal was to prevent further disability and improve the patient's functional abilities. The discussion emphasizes the importance of early diagnosis and treatment, especially the potential for surgical decompression in patients who respond well to cryoprecipitate. For patients resistant to cryoprecipitate, alternative management strategies are needed.
Prompt identification of spinal cord compression and initiation of appropriate treatment, including cryoprecipitate administration and potentially surgical decompression, are crucial to minimize neurological deficits.
A multidisciplinary approach to rehabilitation is essential, addressing neurogenic bladder, skin care, range of motion, and mobility while carefully managing the risk of bleeding.
Preventive strategies, such as controlling bleeds, achieving catheter-free status, and managing extremity bleeds, are critical to avoid complications and further disability in haemophilic patients with spinal cord injuries.