Hemophilia and child abuse as possible causes of epidural hematoma: case report

• Autor(a) principal: Pinto,Fernando Campos Gomes
• Data de Publicação: 2003
• Outros Autores: Porro,Fabrizio Frutos, Suganuma,Liliana, Fontes,Ricardo Bragança de Vasconcellos, Andrade,Almir Ferreira de, Marino Jr,Raul
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Arquivos de neuro-psiquiatria (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000600026
• topic: hemophilia A; child abuse; epidural hematoma

INTRODUCTION: 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. CASE REPORT: 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. CONCLUSION: Even though epidural hematoma is not closely associated with child abuse, this aethiology must always be considered when the reported trauma mechanism is out of proportion to the magnitude of the encountered lesions.