Depressed skull fracture

Last revised by Dr Tom Foster on 02 Nov 2019

Depressed skull fractures result in the bone of the skull vault being folded (depressed) inward into the cerebral parenchyma. It is usually the result of a high energy impact to the skull.

These mostly (~75%) occur in the frontoparietal region 3.

There are a number of associated injuries with depressed skull fractures 1,2:

Rarely undertaken, especially outside of the pediatric population. The fracture is identified due to the projection of dense bone over the skull.

The modality of choice in head trauma. The fracture is shown in detail along with any associated injuries.

There are a number of indications for operative management, these include 2-4:

Depressed skull fracture are associated with higher rates of infection (~10%), seizure (~15%), neurological deficits, and death 3.

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Cases and figures

  • Case 1
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  • Case 2
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  • Case 3
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  • Case 4: with extradural hematoma
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  • Case 5: with subdural hematoma
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  • Case 6: caused with a hammer
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