1 Valley Forge General Hospital, Phoenixville, Pennsylvania
An infant with no external signs of trauma and a picture closely mimicking organic brain disease was treated for months before battering was considered as a possible cause of her difficulty. The similarity of her symptoms to neurologic disease was so striking that battering continued undetected until she finally showed external bruises. Neurologic findings, which included exaggerated startle, hyperreflexia, and increased muscle tone, were not due to organic neurologic disease, and all disappeared within 1 week after hospital admission. The battered child syndrome must be included in the differential diagnosis of developmental failure with diffuse or nonfocal neurologic signs; and, all infants who show these symptoms should be hospitalized.
Submitted on September 23, 1969