Subdural hemorrhage is the most common intracranial injury in which condition?

• A. Rare in abuse
• B. Most common intracranial injury in abusive head trauma
• C. Common in sports injuries
• D. Not associated with head trauma

Answer: (B)

Subdural hemorrhage is most likely to occur in abusive head trauma because the rapid acceleration–deceleration and twisting forces from shaking or impact tear the bridging veins between the brain and the skull. This pattern is especially common in infants subjected to non-accidental injury, so subdural hematomas are the intracranial injury you’re most likely to see in abusive head trauma.

The other statements don’t fit because abuse does not make subdural bleeding rare, it is indeed a consequence of head trauma, and while head injuries happen in sports, subdural hematomas aren’t the single most common intracranial injury in that context.