COMPUTED-TOMOGRAPHY OF SPONTANEOUS INTRACRANIAL HEMORRHAGE DUE TO HEMOSTATIC DISORDERS IN CHILDREN

Intracranial haemorrhage is a serious problem in haemostatic disorders in children. Intracranial bleeding is sometimes more marked than susp ected clinically. Computed tomography (CT) permits accurate, sensitive diagnosis ot intracranial haemorrhage. We report 13 patients; 3 patie nts with hypoprothrombinaemia, 4 patients with thrombocytopenia or pla telet dysfunction and 6 with haemophilia A, B or Von-Willebrand's dise ase. One patient with hypoprothrombinaemia had a subarachnoid hemorrha ge (SAH), one a subdural haematoma (SDH) and the third a combination o f SAH, SDH and intracerebral haematoma (ICH). One patient with thrombo cytopenia or platelet dysfunction had a SDH, while the others had ICH. In the six patients with haemophilia A, B or Von-Willebrand's disease , there were four examples of ICH, five of SAH and six of SDH. A neuro surgical procedure was performed in only one patient. Three children d ied of serious intracranial complications with uncal herniation.