Intracranial hemorrhage (ICH) in children with hemophilia is not a commonly occurring event. Retrospective studies performed estimate the incidence of ICH to be 3.4%-4.0%. Signs of ICH in children clinically are difficult to assess and often result in a delay in the diagnosis. The timely diagnosis of ICH is critical for the early and intensive factor replacement therapy that the patient needs. We report a case of ICH in a child with severe hemophilia A with no family history.