Management of a Case of Congenital Afibrinogenemia for Extradural Hematoma Evacuation with Fresh Frozen Plasma

• Author Details:   
• Sukriti Atram
• Surbhi Dinesh Mundada

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Afibrinogenemia is a rare bleeding disorder with an estimated prevalence of 1:1,000,000. It is an autosomal recessive disease resulting from mutations in any of the 3 genes that encode the 3 polypeptide chains of fibrinogen. Spontaneous bleeding, bleeding after minor trauma and excessive bleeding during interventional procedures are the principal manifestations. Replacement therapy is the mainstay of treatment of bleeding episodes in these patients and plasma-derived fibrinogen concentrate is the agent of choice. Cryoprecipitate and fresh frozen plasma are alternative treatments that should be used only when fibrinogen concentrate is not available. We report a case of congenital afibrinogenemia, a 3 years old child, posted for emergency intracranial hematoma evacuation who was successfully managed by fresh frozen plasma as other alternatives were unavailable.