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HEMOPHILIA CONTRIBUTIONS |

Neuropathy in Hemophilia

Allen Silverstein, MD
[+] Author Affiliations

Reprint requests to 100th Street and Fifth Avenue, New York 29.


New York

From the departments of neurology and hematology, Mount Sinai Hospital.


JAMA. 1964;190(6):554-555. doi:10.1001/jama.1964.03070190074023
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INTRA-ARTICULAR and intramuscular hemorrhages are well recognized as frequent causes for disability in patients with hemophilia. Another less common cause for impaired motility of an extremity in a hemophiliac is involvement of a peripheral nerve by hemorrhage. The purposes of this communication are to report the incidence and nature of the peripheral nerve lesions observed in 206 patients with hemophilia; to review the pertinent literature; and to discuss briefly the pathogenesis, management, and prognosis of this somewhat neglected complication of hemophilia.

Materials and Methods  The 206 hemophiliacs were all admitted to the Mount Sinai Hospital, New York. The criteria employed for the diagnosis of hemophilia have been presented elsewhere.1 Deficiency of factor IX (plasma thromboplastin component) was demonstrated in 17 patients and of plasma thromboplastin antecedent (factor XI) in 6. The remainder were deficient in factor VIII (antihemophilic factor) or were hospitalized at a time when facilities for determining

REFERENCES

Silverstein, A.:  Intracranial Bleeding in Hemophilia , Arch Neurol 3:141-157 ( (Aug) ) 1960;.
Aggeler, P.M., and Lucia, S.P.:  Neurologic Complications of Hemophilia , J Nerv Ment Dis 99:475-500 ( (May) ) 1944;.
Guillain, G., and Rouques, L.:  Manifestations Nerveuses de l'Hemophilie , Bull Med 58:161-166 ( (July) ) 1944;.
Sköld, E.:  On Hemophilia in Sweden and Its Treatment by Blood Transfusion , Acta Med Scand , (suppl 150) , pp 1-247, 1944;.
Hartmann, J.R., and Diamond, L.K.:  Haemophilia and Related Haemorrhagic Disorders , Practitioner 178:179-190 ( (Feb) ) 1957;.
Douglas, A.S., and McAlpine, S.C.:  Neurological Complications of Haemophilia and Christmas Disease , Scot Med J 1:270-273 ( (Aug) ) 1956;.
Serafini, U.M., et al:  Complicazioni Neurologiche Dell'emofilia , Rass Fisiopat Clin Ter 29:1262-1294 ( (Nov) ) 1957;.
Ikkala, E.:  Haemophilia: Study of Its Laboratory, Clinical, Genetic, and Social Aspects Based on Known Haemophiliacs in Finland , Scand J Clin Lab Invest ( (suppl 46) ) 12:1-144, 1960;.
Sjolin, K.E.: Haemophilic Diseases in Denmark , Oxford: Blackwell Scientific Publications, 1960;, pp 203, 207, 238, 241.
Tallroth, A.:  Hemophilia With Spontaneous Hemorrhage in Iliopsoas Muscle Followed by Injury to Femoral Nerve: Report of Case , Acta Chir Scand 82:1-10, 1939;.
Seddons, H.J.:  Hemophilia as Cause of Lesions in Nervous System , Brain 53:306-310 ( (Oct) ) 1930;.
Gunther, H.:  Über Lähmungen bei Hämophilie , Monatsschr Psychiat u Neurol 91:33-40 ( (April) ) 1935;.
Deloge, C.C.J.:  Quelques Observation de Paralysis Consecutives a des Hematomes Chez Hemophiles , Paris Theses (No (47) ) 25:1-59, 1935;.
Lyons, J.B.:  Femoral Nerve Lesion in Haemophilia , J Irish Med Assoc 32:110-111 ( (April) ) 1953;.
Lord, J.P.:  Hemophilia With Volkmann Syndrome , JAMA 87:406-407 ( (Aug) ) 1926;.
Arbuse, D.I., and Locascio, N.R.:  Neurological Manifestations in Hemophilia , M Rec 146:377-381 ( (Nov 3) ) 1937;.
Bigelow, N.H., and Graves, R.W.:  Peripheral Nerve Lesions in Hemorrhagic Diseases , Arch Neurol Psychiat 68:819-830 ( (Dec) ) 1952;.

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Silverstein, A.:  Intracranial Bleeding in Hemophilia , Arch Neurol 3:141-157 ( (Aug) ) 1960;.
Aggeler, P.M., and Lucia, S.P.:  Neurologic Complications of Hemophilia , J Nerv Ment Dis 99:475-500 ( (May) ) 1944;.
Guillain, G., and Rouques, L.:  Manifestations Nerveuses de l'Hemophilie , Bull Med 58:161-166 ( (July) ) 1944;.
Sköld, E.:  On Hemophilia in Sweden and Its Treatment by Blood Transfusion , Acta Med Scand , (suppl 150) , pp 1-247, 1944;.
Hartmann, J.R., and Diamond, L.K.:  Haemophilia and Related Haemorrhagic Disorders , Practitioner 178:179-190 ( (Feb) ) 1957;.
Douglas, A.S., and McAlpine, S.C.:  Neurological Complications of Haemophilia and Christmas Disease , Scot Med J 1:270-273 ( (Aug) ) 1956;.
Serafini, U.M., et al:  Complicazioni Neurologiche Dell'emofilia , Rass Fisiopat Clin Ter 29:1262-1294 ( (Nov) ) 1957;.
Ikkala, E.:  Haemophilia: Study of Its Laboratory, Clinical, Genetic, and Social Aspects Based on Known Haemophiliacs in Finland , Scand J Clin Lab Invest ( (suppl 46) ) 12:1-144, 1960;.
Sjolin, K.E.: Haemophilic Diseases in Denmark , Oxford: Blackwell Scientific Publications, 1960;, pp 203, 207, 238, 241.
Tallroth, A.:  Hemophilia With Spontaneous Hemorrhage in Iliopsoas Muscle Followed by Injury to Femoral Nerve: Report of Case , Acta Chir Scand 82:1-10, 1939;.
Seddons, H.J.:  Hemophilia as Cause of Lesions in Nervous System , Brain 53:306-310 ( (Oct) ) 1930;.
Gunther, H.:  Über Lähmungen bei Hämophilie , Monatsschr Psychiat u Neurol 91:33-40 ( (April) ) 1935;.
Deloge, C.C.J.:  Quelques Observation de Paralysis Consecutives a des Hematomes Chez Hemophiles , Paris Theses (No (47) ) 25:1-59, 1935;.
Lyons, J.B.:  Femoral Nerve Lesion in Haemophilia , J Irish Med Assoc 32:110-111 ( (April) ) 1953;.
Lord, J.P.:  Hemophilia With Volkmann Syndrome , JAMA 87:406-407 ( (Aug) ) 1926;.
Arbuse, D.I., and Locascio, N.R.:  Neurological Manifestations in Hemophilia , M Rec 146:377-381 ( (Nov 3) ) 1937;.
Bigelow, N.H., and Graves, R.W.:  Peripheral Nerve Lesions in Hemorrhagic Diseases , Arch Neurol Psychiat 68:819-830 ( (Dec) ) 1952;.
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