This case illustrates extensive intracranial and facial bone inflicted injuries. Depressed skull fractures result in the bone of the skull vault being depressed inward into the cerebral parenchyma as a result of a high energy impact to the skull, in this case, a hammer.
The fracture of the left anterior cranial fossa extending to the carotid canal raises concerns for associated traumatic vascular injury and further correlation with a CT angiogram was recommended.