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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

Depressed skull fracture.

ct

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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