Age at diagnosis | Median 7 years (IQR 20–156 months), (N = 153) |
Time delay (presentation to treatment) | Median 5.6 days (IQR 2.6–14.8 days), (N = 117) |
Time delay (diagnosis to treatment) | Median 1.9 (IQR 0.7–5.7 days), (N = 117) |
Symptom and signs at diagnosis | 153 |
Pain | 137 (90%) |
Back pain | 67 (43%) |
Limb pain | 15 (10%) |
Abdominal pain | 9 (6%) |
Torticollis | 67 (43%) |
Irritability | 38 (25%) |
Tetraparesis | 48 (31%) |
Hemiparesis | 96 (63%) |
Sensory disturbances | 49 (32%) |
Sphincter disturbance | 44 (29%) |
Neurological deficit at initial presentation | 104 (68%) |
Neurological deficit at diagnosis | 136 (89%) |
Neuroimaging studies | 144 |
MRI | 83 (58%) |
CT | 15 (10%) |
Myelography | 30 (21%) |
MRI and CT | 14 (10%) |
CT and myelography | 2 (1%) |
Localization | 149 |
Cervical | 21 (14%) |
Cervico-thoracic | 82 (55%) |
Thoracic | 37 (25%) |
Thoraco-lumbar | 4 (2.5%) |
Lumbar | 4 (2.5%) |
Lumbo-sacral | 1 (1%) |
Antero-posterior localization | 132 |
Posterior | 112 (85%) |
Anterior | 17 (13%) |
Lateral | 3 (2%) |
Etiology and contributing factors | 150 |
Unknown | 57 (38%) |
Trivial trauma | 30 (20%) |
Vascular malformation | 21 (14%) |
Arteriovenous malformation | 10 (48%) |
Venous angioma | 4 (19%) |
Angiolipoma | 2 (9%) |
Hemangioma | 4 (19%) |
Arteriovenous fistula | 1 (5%) |
Coagulation disorder | 42 (28%) |
Hemophilia A | 27 (64%) |
Hemophilia B | 12 (29%) |
Hemophilia A and B | 1 (2%) |
Coagulopathy due to cholestasis | 1 (2%) |
Unknown hemophilia | 1 (2%) |
Treatment | 151 |
Surgery and factor replacement | 12 (8%) |
Factor replacement without surgery | 36 (24%) |
Surgery without factor replacement | 103 (68%) |