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Depressed skull fracture

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Overseas construction worker. Fall with head injury.

Patient Data

Age: 35
Gender: Male
x-ray
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Info

Depressed skull fracture.

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial bone
window
This study is a stack
Sagittal
bone window
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Info

Depressed left frontal bone skull fracture extending into the frontal sinus.

Small amount of resultant intracranial air.

No hemorrhage.

Case Discussion

Head trauma is common. CT plays a key first line role. Skull radiographs are no longer indicated in adults, but may be obtained occasionally. Intracranial hemorrhage, extra-axial collections and fractures are the main findings to assess for on CT. A small proportion of skull fractures are depressed in nature.

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