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Abstract

Intracranial hemorrhage (ICH) is a life-threatening complication in hemophilia. It often occurs during childhood after minimal head trauma. It poses a problem of diagnostic and therapeutic management, especially in Africa where CFCs are not always available.:We report the case of an 8-year-old boy, severe hemophiliac A, carrying sickle cell trait and trisomy 21. He was admitted to emergency 6 days after a cranioencephalic trauma following by headaches with photophobia and consciousness disorders.Cerebral CT scan showed a hematoma of the posterior cerebral fossa, a left temporal hematoma, a meningeal hemorrhage and a hydrocephalus. The patient received CFCs substitution and regular neurological follow-up.Management of ICH in hemophiliacs remains difficult in Africa because of the unavailability of treatment and the lack of knowledge of the disease. An early diagnosis and an adapted management would allow to reduce morbidity and mortality related to ICH.