Which of the following is a sign of shaken baby syndrome?

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Shaken baby syndrome involves serious head injury from violent shaking, which can tear blood vessels inside the skull and sometimes cause a leakage of cerebrospinal fluid. Bleeding from the eyes or ears, or clear fluid draining from the eyes, ears, or nose, is a direct sign of this kind of intracranial injury and possible skull fracture. The presence of clear fluid is especially concerning because it often indicates CSF leakage, a hallmark of brain trauma. This makes it the most specific sign among the options for shaken baby syndrome. While unexplained injuries or neurological symptoms can occur with abuse or head injuries, they are not as directly indicative of the characteristic brain- and skull-related damage seen with shaking. If you suspect head injury in an infant, call emergency services right away and keep the child safe and monitored.