Abstract
This 6-month-old girl was transferred from an outside hospital, unaccompanied by her parents. She had a period of emesis and was taken to her primary care physician, who noticed bilateral parasternal bruising concerning for nonaccidental trauma. Cranial computed tomography showed bilateral subdural hematomas. She was admitted and evaluated for nonaccidental injury. Funduscopic eye examination revealed bilateral retinal hemorrhages. Magnetic resonance imaging of the brain demonstrated bilateral subdural hemorrhages of different signal intensities, extending into the lumbar spine. Spinal subdural hematoma (Figs 1 and 2) appeared hyperintense on both T1and T2weighted images with signal dropout on the gradient images, thereby confirming blood products. She was stable and no acute neurosurgical intervention was deemed necessary. History was gleaned from the parents and the primary care doctor. It was concluded that the girl’s findings were secondary to nonaccidental trauma.
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