Abstract

ABSTRACT To the Editor.— In a recent LETTER TO THE EDITOR (216:518, 1971), Quick made a statement to which I must take strong exception. He said: ... intracranial hemorrhage in hemophilia is rare.I am of course aware of Dr. Quick's many contributions in the field of the coagulopathies. And, of course he is literally right in his statement. Intracranial bleeding in the hemophiliac is rare, compared with hemarthrosis, intramuscular hematoma, or renal bleeding. On the other hand, when it occurs, it is not infrequently the cause of death.I feel that a known hemophiliac who has received trauma to the head should be observed closely for evidences of bleeding, and should be treated vigorously on the first appearance of such signs. I have on several occasions treated such patients preventively with infusions of factor VIII.

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