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Multicystic encephalopathy (MCE) in abusive head trauma (AHT)(“shaken baby syndrome”[SBS]) is a rare condition, in which only a few cases of delayed homicides have been described. We present three cases of MCE deaths after AHT with different degrees of cystic degeneration (1-5 months, age at time of AHT; post traumatic interval,(PTI): 2 years to 29 years). Reviewing the patient’s clinical history can be useful for the presence of the classic triad (retinal hemorrhages, subdural hemorrhages and encephalopathy) and further traumatic and/or neglected lesions. The topography of the brain regions involved may not only suggest a hypoxic-ischemic and/or hypoperfusion mechanism but could also be helpful for the search of the primary damage at the level of the brainstem regulatory nuclei. Although MCE may be a typical lesion in developing brains after different insults, we did not observe age-related changes in …