State v. Middleton

CourtCourt of Appeals of North Carolina
DecidedJanuary 15, 2025
Docket24-252
StatusPublished

This text of State v. Middleton (State v. Middleton) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Middleton, (N.C. Ct. App. 2025).

Opinion

IN THE COURT OF APPEALS OF NORTH CAROLINA

No. COA24-252

Filed 15 January 2025

Gaston County, Nos. 20CRS056287–88

STATE OF NORTH CAROLINA

v.

ROBERT AHMAAD MIDDLETON, JR.

Appeal by defendant from judgments entered 28 February 2023 by Judge

William R. Bell in Gaston County Superior Court. Heard in the Court of Appeals 24

September 2024.

Attorney General Jeff Jackson, by Special Deputy Attorney General Heidi M. Williams, for the State.

William D. Spence for defendant-appellant.

ZACHARY, Judge.

Defendant Robert Ahmaad Middleton, Jr., appeals from judgments entered

upon a jury’s verdicts finding him guilty of (1) first-degree murder of his infant son,

“Dylan,” and (2) intentional child abuse inflicting serious bodily injury of Dylan’s twin

brother, “Daniel.”1 After careful review, we conclude that Defendant received a fair

1 Throughout their appellate briefs, Defendant and the State respectively identify the twins

as “T1” or “Twin 1” and “T2” or “Twin 2.” However, for clarity and ease of reading—as well as sensitivity to the minor victims in this case—we employ pseudonyms in this opinion. See generally N.C.R. App. P. 42. Hereinafter, we shall refer to “T1”/“Twin 1” as “Dylan” and “T2”/“Twin 2” as “Daniel.” STATE V. MIDDLETON

Opinion of the Court

trial, free from error.

BACKGROUND

Defendant and Takaylia Young (“Ms. Young”) began a relationship in the

spring of 2018. Soon after the couple began living together, Ms. Young became

pregnant. She terminated the pregnancy at Defendant’s urging; however, she told

Defendant that if she became pregnant again, she would not obtain another abortion.

In October 2019, Ms. Young discovered that she was pregnant again—this time, with

twins. But when she told Defendant, he “wasn’t too excited about it” and hung up the

phone. Defendant made it clear to Ms. Young that he wanted her to abort the twins.

Ms. Young refused.

Twins Dylan and Daniel were born prematurely in May 2020, and they

remained in the neonatal intensive care unit (“NICU”) until early June. When they

were discharged from the NICU, Ms. Young brought the twins home to the apartment

she shared with Defendant. On 12 and 18 June 2020, the twins had wellness checks

with their pediatrician, during which nothing unusual was noted.

On Saturday, 20 June 2020, Ms. Young and her stepfather drove to Walmart

in Belmont to get groceries, diapers, and other necessities, leaving Defendant home

alone with the twins for a couple of hours. Defendant was playing video games when

Ms. Young and her stepfather returned from their errands. Ms. Young inquired about

the twins, and Defendant “said they were fine.”

However, the next day, 21 June 2020, Ms. Young began to notice concerning

-2- STATE V. MIDDLETON

changes in Dylan. She observed that Dylan “was off,” in that “he was really, really

tired, like, exhausted tired.” The twins had an eye doctor’s appointment scheduled for

early Monday morning, 22 June 2020, which was only the twelfth day since their

release from the NICU. But Dylan had not fed since Sunday night, after multiple

attempted feedings throughout the night and into Monday morning. Before the twins’

appointment, Ms. Young called their pediatrician and left a message expressing

concern that Dylan was not eating.

At the eye doctor’s office, Dylan failed to blink his eyes during dilation, and “he

just didn’t look right and [his] breathing patterns . . . [weren’t] right.” Meanwhile, the

twins’ pediatrician returned Ms. Young’s phone call and instructed her to take Dylan

directly to the local emergency room. Although Ms. Young heeded the pediatrician’s

advice, Dylan’s condition worsened at the emergency room, and he was airlifted to

Levine Children’s Hospital (“Levine”) in Charlotte. There, Dylan was diagnosed with,

inter alia, “a fractured skull and . . . severe bleeding in the brain.” Dylan was also

severely dehydrated and unable to breathe on his own; he was given fluids and

medication and placed on life support.

Dr. Kendra Ham (“Dr. Ham”), a child-abuse pediatrician at Levine, testified at

trial that Dylan had a parietal skull fracture on the left side of his head, along with

“associated scalp swelling,” which “happen[ed] quickly after [an impact], . . . up to 72

hours after an injury occurred.” Dr. Ham also noted the existence of a bilateral

subdural hematoma—a brain injury that typically results from “extreme force” or

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“rapid acceleration, deceleration”—which had occurred “within the last 72 hours.”

According to Dr. Ham, this injury could not have been caused by “a simple fall from

an adult height,” and Dylan’s records showed no “pre-existing condition or injury”

that would account for it.

In addition, Dylan suffered (1) bilateral subarachnoid hemorrhages; (2) an

intraventricular hemorrhage, which Dr. Ham noted was not typically seen “in

accidental injuries”; (3) cerebral edema, or “swelling of the brain”; and (4) a fracture

to his left wrist, which Dr. Ham said was “very specific for physical abuse.” Dr. Ham

explained that “[d]ue to the constellation and extent of [Dylan’s] injuries,” her

“medical assessment was consistent with abusive head trauma.” According to Dr.

Ham, Dylan’s injuries could not have resulted from “a simple fall” or “accidentally

bump[ing the] child’s head into the wall or door frame”; rather, Dr. Ham explained,

Dylan’s injuries were consistent with those that she would expect to see from

“someone shaking [the] child and throwing [him] on the floor.”

On the evening of 23 June 2020, Daniel was also admitted to Levine, where

doctors noticed “bruising and swelling on [his] eyes.” According to Dr. Ham’s report,

which was admitted at trial as State’s Exhibit 34, Daniel “presented [at Levine] for a

medical screening exam per recommendations due to his twin brother being admitted

to the [pediatric intensive care unit] with injuries concerning for abusive head trauma

and physical abuse.” Following a full examination, doctors determined that Daniel

“had similar injuries [to Dylan]. He also had a brain fracture and several bleeds on

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his brain.” Dr. Ham diagnosed Daniel with (1) a left parietal skull fracture; (2) a

subdural hematoma; (3) a subarachnoid hemorrhage; and (4) bruising to his upper

left eyelid. Dr. Ham testified that, as with Dylan, Daniel’s injuries were “consistent

with inflicted trauma or abusive head trauma” but not with “a bump into the wall” or

“a simple fall.”

During his hospitalization, Daniel exhibited “intermittent hypothermia . . . and

feeding difficulties believed to be due to his traumatic brain injury”; however, his

condition eventually improved, and he was discharged from Levine on 8 July 2020.

That same day, Dylan “was withdrawn from life support due to his very poor

prognosis.” He died that day.

Dr. Thomas Owens (“Dr. Owens”), a forensic pathologist and medical

examiner, performed an autopsy on Dylan’s body on 9 July 2020. Dr. Owens testified

that Dylan suffered (1) a skull fracture on the left side of his head, which “require[d]

an impact”; (2) a hemorrhage in the left parietal tissue; (3) bilateral subarachnoid

hemorrhages caused by “violent, rapid, forceful shaking”; and (4) a fracture on the

left wrist, caused by the arm “being moved back and forth in a rapid manner.” Dr.

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State v. Middleton, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-middleton-ncctapp-2025.