An infant presented in coma with pupillary dilatation. There was no significant trauma history. Computed tomography (image A) reveals a large right, concave subdural hematoma and significant brain shift. After urgent craniotomy, the patient had malignant brain swelling due to the underlying traumatic and hypoxic-ischemic injury on follow-up computed tomography (image B) and did not survive. Bilateral retinal hemorrhages and skeletal fractures were also detected.