title: Hemophilia and child abuse as possible causes of epidural hematoma: case report.
abstract: 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.
authors.affiliation: Neurosurgery Division, Neurology and Neurosurgery Department, University of São Paulo Medical School, São Paulo, SP, Brazil.
authors.forename: Fernando Campos Gomes
authors.initials: FC
authors.lastname: Pinto
authors.forename: Fabrizio Frutos
authors.initials: FF
authors.lastname: Porro
authors.forename: Liliana
authors.initials: L
authors.lastname: Suganuma
authors.forename: Ricardo Bragança de Vasconcellos
authors.initials: RB
authors.lastname: Fontes
authors.forename: Almir Ferreira
authors.initials: AF
authors.lastname: de Andrade
authors.forename: Raul
authors.initials: R
authors.lastname: Marino
mesh_terms: 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