Medical management of extensive spinal epidural hematoma in a child with factor IX deficiency.

We report an unusual case of extensive spinal epidural hematoma in a seven-year-old male with severe factor IX deficiency. Despite evidence of extensive spinal epidural hematoma on the magnetic resonance imaging scan, aggressive replacement therapy resulted in complete neurologic recovery without the need for surgical decompression. This case also points to the usefulness of serial magnetic resonance imaging scans to monitor progress of the disease.