FATAL CLIVAL SUBDURAL-HEMATOMA IN A HEMOPHILIAC

We report the case of a hemophiliac in whom developed an unusual site of intracranial bleeding, a subdural hematoma that extended in the pos terior fossa anteriorly from the clivus into the upper spinal subdural space. The hematoma was delayed in onset and was fatal. We review the current management recommendations for hemophiliac patients with head injury and the clinical presentation of intracranial bleeding in hemo philiacs. The necessity for Factor VIII replacement and serial compute d tomography scans is emphasized.