Hemophilia and child abuse as possible causes of epidural hematoma: case report.
Head trauma is an important consequence of child abuse. Specific pathophysiological mechanisms in child abuse are responsible for the "whiplash shaken-baby syndrome", which would favour the occurrence of intracranial hemorrhages.



We report the case of a child who developed epidural hematoma following minor-intensity head trauma. Initial diagnosis of child abuse was made, but subsequent investigation led to the diagnosis of hemophilia A.



Even though epidural hematoma is not closely associated with child abuse, this etiology must always be considered when the reported trauma mechanism is out of proportion to the magnitude of the encountered lesions.
Pinto
Fernando Campos Gomes
FC
Neurosurgery Division, Neurology and Neurosurgery Department, University of São Paulo Medical School, São Paulo, SP, Brazil.
Porro
Fabrizio Frutos
FF
Suganuma
Liliana
L
Fontes
Ricardo Bragança de Vasconcellos
RB
de Andrade
Almir Ferreira
AF
Marino
Raul
R
D002649:Child Abuse / Q000175:diagnosis*; D006259:Craniocerebral Trauma / Q000150:complications; D003937:Diagnosis, Differential; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006467:Hemophilia A / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007223:Infant; D008297:Male