Intracranial hemorrhage should be highly suspected if the pediatrician has a history of significant head trauma, increased intracranial pressure and altered consciousness. Intracranial hemorrhage, mild may be asymptomatic, common signs and symptoms are: i. Altered consciousness: agitation, drowsiness or coma. Respiratory changes: increased or slowed down, irregular or suspended. Elevated intracranial pressure: bulging fontanel, increased blood pressure, convulsions, corns, cerebral screaming, nausea, vomiting, optic papilla edema. Ocular signs: gaze, strabismus, difficulty in upturning the eyes, nystagmus. V. Pupillary light reflex is lost. Increased, decreased or absent muscle tone. VII. Other unexplained pallor, anemia and jaundice. Cranial CT or magnetic resonance may assist in the diagnosis.