In patients with hemophilia, is intracranial hemorrhage (bleeding in the head) always associated with a visible hematoma (bruise) on the scalp or head?
• Intracranial hemorrhage remains an important cause of significant disability and death in patients with bleeding disorders. To detect these types of bleeding episodes, clinicians should be aware of this problem and should use an aggressive treatment approach when evaluating the patient. Anyone with symptoms should be evaluated immediately by a medical provider! • A CT scan continues to be the gold standard in evaluation of head trauma in a person with a bleeding disorder. • Intracranial hemorrhage may occur without loss of consciousness and without development of a visible bruise or hematoma, and may occur with or without a report of injury. • Symptoms of intracranial hemorrhage may evolve over time and take several days to emerge; therefore a neurological assessment at the time of injury may not be sufficient to diagnose an intracranial hemorrhage. Even if a CT scan was normal at the time of injury, continue to monitor the patient and call if he develops symptoms of concern.
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