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Abusive head trauma: A perpetrator confesses

Authors:	Bell Erica Shouldice Michelle Levin Alex V

Institution:	^a Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, Canada ^b Division of Paediatric Medicine, Suspected Child Abuse and Neglect Programme, The Hospital for Sick Children, Toronto, Canada ^c Pediatric Ophthalmology and Ocular Genetics, Wills Eye Institute, 840 Walnut Street, Philadelphia, PA 19107-5109, USA

Abstract:	Objectives To present a detailed confession from a perpetrator of Shaken Baby syndrome. Methods Case study. Results We present a confession of Shaken Baby syndrome describing how the perpetrator severely injured a 3 year old with repeated bursts of acceleration-deceleration (shaking). The child sustained retinal and intracranial hemorrhage. Details of the confession and circumstances by which it was obtained lead us to believe its accuracy. Conclusions Accurate perpetrator confessions offer useful windows into realities and pathophysiology of abusive head trauma.

Keywords:	Child abuse Shaken Baby syndrome Retinal hemorrhage
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