Trauma is a major cause of subdural hemorrhages in children. Abusive head trauma is the most common cause of acute subdural bleeding in infants apart from traffic accidents, falls and birth traumas. The pathophysiological etiology of subdural hematoma is a venous bleeding between archnoidea and dura mater from the bridging veins. Concomitant intracerebral injuries may cause abrupt life-threatining situations. Detailed medical and social history and examination for additional injuries are possible indicators for abusive head trauma.