The mechanism of injury is clearly head trauma. All patients with a skull fracture should be evaluated for a concussion, increased ICP, and a cervical spine injury, and treated accordingly. Not all patients with a skull fracture present with a loss of consciousness and not all skull fractures require surgery. Exercise caution during the physical exam to avoid compressing a fractured area and further damaging brain tissue. A fracture in conjunction with an overlying wound, or one that communicates with the paranasal sinuses or middle ear often leads to meningitis.
Skull Fracture S/Sx
Skull Fracture Treatment