Skull fracture (peds)

Background

  • Predictor of intracranial injury
  • Infants are at higher risk due to thinner calvarium
  • Most skull fractures have overlying hematoma

Clinical Features

Differential Diagnosis

Maxillofacial Trauma

Evaluation

  • Head CT

Management

Disposition

Likely safe discharge if[1]:

  • Neurologically normal
    • Isolated linear skull fracture
      • No concern for child abuse

Admit others

See Also

External Links

References

  1. Bressan, S., Marchetto, L., Lyons, T. W., Monuteaux, M. C., Freedman, S. B., Da Dalt, L., & Nigrovic, L. E. (2018). A Systematic Review and Meta-Analysis of the Management and Outcomes of Isolated Skull Fractures in Children. Annals of Emergency Medicine, 71(6), 714–724.e2.