Skull fracture (peds)

This page is for pediatric patients. For adult patients, see: skull fracture.

Background

  • Predictor of intracranial injury
  • Infants are at higher risk due to thinner calvarium (median age for isolated skull fracture is 10 months)[1]
  • Most skull fractures have overlying hematoma

Clinical Features

Differential Diagnosis

Head trauma

Maxillofacial Trauma

Evaluation

  • Head CT
  • Evaluate for additional injuries

Management

Disposition

  • Consider discharge if[2][1]:
    • Neurologically normal
    • Isolated closed linear skull fracture
    • No concern for non-accidental trauma
  • Admit all others

See Also


References

  1. Elizabeth C. Powell, et al. Isolated Linear Skull Fractures in Children With Blunt Head Trauma. Pediatrics Apr 2015, 135 (4) e851-e857; DOI: 10.1542/peds.2014-2858
  2. 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.
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