Factor V deficiency in a Syrian boy with spontaneous intracranial hemorrhage: a rare case report from Syria

Abstract

Factor V (FV) deficiency is a rare autosomal recessive coagulation disorder that can manifest at any age. Spontaneous intracranial hemorrhage as the first manifests of Factor V Deficiency is extremely rare and may present with a sudden focal neurological deficit or a reduced level of consciousness. We report a case of a new onset-seizure without any history of medical ingestion, toxin exposure, trauma or falls in an 11- month- old boy. A cranial computed tomography showed right intra-cerebral bleed extending from the parietal lobe to the occipital region with a shift of the midline to the left. Laboratory results showed a decrease in Factor V activity. Fresh frozen plasma (FFP) was replaced with improvement.