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Stay-at-home father Matthew Scully-Hicks is accused of killing his 18-month-old adopted child Elsie after 'assaulting and abusing' the tragic youngster over a perviod of several months.'He said he had then seen Elsie at the top of the stairs, that the baby gate had then opened and that Elsie had tumbled down the stairs,' Mr Lewis said.

Mr Scully-Hicks was working in Leicester at the time but immediately headed to Cardiff, meeting the defendant at the University Hospital of Wales.

A post-mortem examination found Elsie had previous and recent bleeding on both sides of her brain.

Consultant neuroradiologist Dr Neil Stoodley said he believed Elsie suffered "abusive head trauma that involved a shaking mechanism."Other experts said Elsie's collapse days before her death could have been due to suffering a severe head injury, and found she had suffered injuries to her skull, left femur and three of her ribs between three to five days before her death.

Mr Lewis said: "The weight of medical evidence is likely to prove that in addition to the recent bone injuries Elsie had suffered, her catastrophic brain injuries and retinal haemorrhages must have been as a result of trauma she suffered immediately before her collapse and the 999 call."Elsie was then of course just 18-months -old.

Then, on May 25 last year, Scully-Hicks phoned an ambulance telling an operator Elsie had become 'floppy and limp' while he changed her for bed.

Mr Scully-Hicks received a phone call from his husband on March 10, saying that he was in an ambulance with Elsie as she had fallen down the stairs.

He claimed to have been sorting washing in a bedroom, with Elsie on the floor, before going downstairs - closing the gate behind him.

Following Elsie's death, an X-ray of her right leg from November 2015 was re-examined.

It was found that Elsie had suffered two fractures - one near the ankle and one just above the knee.

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