Multidisciplinary Approach in a Case of Cinderella Syndrome: A Case Report

A two years old female child, youngest of three siblings, was brought to the Dept. of Paediatrics with alleged history of loss of consciousness following an episode of seizure two days back. CT scan revealed subdural hematoma over right fronto-parietal convexity. Call was sent to Dept. of Forensic Medicine as pediatrician suspected foul play based on history given by parents. After detailed history we found inconsistency of the parents ’explanation with the extent of injury and delay in seeking medical advice. On external examination, no injuries were found over body surface. Whole body X ray was advised which revealed multiple fractures at different sites in different stages of healing which is a classical finding in a case of Cinderella syndrome. This case emphasizes the importance of multidisciplinary approach and taking whole body X-ray in every suspected case of child battering as “the skin and bones tell a story which the child is too young or too frightened to tell.”