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Spinal subdural haematoma in von Willebrand disease

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Franko A et al. / <strong>Sp<strong>in</strong>al</strong> <strong>subdural</strong> <strong>haematoma</strong> <strong>in</strong> <strong>von</strong> <strong>Willebrand</strong> <strong>disease</strong> 87<br />

orrhage associated with vWD. Therefore,<br />

to the best of our knowledge, this is the<br />

first report of a <strong>subdural</strong> hematoma of the<br />

thoracic sp<strong>in</strong>e <strong>in</strong> a patient with vWD and<br />

chronic HCV <strong>in</strong>fection under the comb<strong>in</strong>ation<br />

therapy. Our patient had an <strong>in</strong>dicative<br />

cl<strong>in</strong>ical presentation, the diagnosis was<br />

confirmed by MRI and we decide to pursue<br />

a conservative treatment approach. We<br />

withdrew the antiviral comb<strong>in</strong>ation therapy<br />

because of the possibility that it could be a<br />

risk factor for spontaneous bleed<strong>in</strong>g. After<br />

three months, our patient showed a complete<br />

recovery.<br />

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