Subacute subdural hematoma as the first symptom in a child with hemophilia A

The authors reported a case of subacute subdural hematoma in a 14-month-old child suffering from mild hemophilia (Factor VIII, activity: 2.5%). Removal of hematoma under the cover of replacement therapy has been performed safely and has led to recovery without any clinical sequelae. Computerized tomography appeared very useful as an atraumatic method of examination in hemophiliacs. Discussion deals with the problems associated with management of intracranial hemorrhages in hemophiliacs and emphasizes the need of prompt adequate medical and surgical treatment to prevent irreversible damage to the brain.