Abusive head trauma: A perpetrator confesses

ObjectivesTo present a detailed confession from a perpetrator of Shaken Baby syndrome.MethodsCase study.ResultsWe 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.ConclusionsAccurate perpetrator confessions offer useful windows into realities and pathophysiology of abusive head trauma.