Abstract
The battered baby syndrome is a condition in which a child is seriously physically abused by thecaregiver or parents. The World Health Organization (WHO) estimates 40 million children aresubjected to abuse and neglect around the world. Most of the industrialized countries have theirreporting and surveillance system and data on child battery but in developing countries includingIndia, there is a lack of data regarding the extent of child battering that takes place within thehouseholds or institutions. India published a report on one of the largest surveys done on childabuse and found that two out of every three children were physically abused and 88.6% of themsuffered at the hands of their parents. Unfortunately, the methodology restricted the study to onlyolder children who could give a history of abuse. Therefore, the magnitude of the problem given onlyhighlights among children above the age of 5 years. [1]. we are reporting a case of an Infant withFebrile encephalopathy, detailed examination and investigation found out a case of chronic SubduralHygroma with classical neuroimaging features of Abusive trauma. We have done a multidisciplinaryapproach with a Neurosurgeon, a social worker who treated the child with burr hole surgery forsubdural hygroma & the child recovered with consciousness. This case is Special because a 5-monthMale infant was subjected to abuse due to a psychological problem in a Family Member, suspicionwas lacking as males are unlikely to undergo gender-biased in India and Early age of presentation.
Highlights
Child abuse is referred to a behavior in which a child is exposed to different physical and sexual abuses, neglect or emotional misconduct
Chronic subdural fluid collection can present as chronic subdural hematoma or subdural effusion
We are Reporting a case of an infant with Febrile encephalopathy because of chronic subdural hematoma of nonaccidental origin or Infection which turned out to be a case of Child abuse after detailed evaluation
Summary
Child abuse is referred to a behavior in which a child is exposed to different physical and sexual abuses, neglect or emotional misconduct. The clinical condition of seriously physically child abused by parents or caregivers is called Battered Baby syndrome [2,3]. The most common cause of subdural fluid collection in children is meningitis in about 42% of cases. We are Reporting a case of an infant with Febrile encephalopathy because of chronic subdural hematoma of nonaccidental origin or Infection which turned out to be a case of Child abuse after detailed evaluation. Another systemic examination was within normal limits. We concluded that this is a case of Battered Baby Syndrome with bilateral subdural hygroma, grade 2 malnutrition with Vitamin D deficiency. The effort is to prevent retraumatization of the child and ensure that the victim has access to proper medical, legal and psychological Treatment
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