Sir,The recent report on childhood non-accidental traumatic (NAT) brain injuries is very interesting.[1] Ibrahim et al. noted that ‘child abuse, unprotected child labour, and parental/care-givers negligence are the main cause of NAT brain injury.[1] In fact, the described problem can be seen in any poor developing countries. How to detect early of the problem seems to be the critical points. Naik-Mathuria et al. mentioned that ‘all patients with suspected NAT are admitted to the paediatric surgery service for complete evaluation and management.[2] Greeley said that ‘the evidence-based for abusive head trauma encompasses diverse disciplines, including diagnostic imaging, pathology, paediatrics, biomechanics, ophthalmology, epidemiology, and orthopaedics.[3] However, the concern of the first practitioner who face up the case seems to be the most important starting point. How to make the problem to be well-recognized internationally is the topic for further discussion.[4]