Depressed skull fracture

Case contributed by Dr Ian Bickle

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 haemorrhage.

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 haemorrhage, 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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Case information

rID: 29473
Case created: 28th May 2014
Last edited: 21st Aug 2016
Inclusion in quiz mode: Included

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