Depressed skull fractures (hammer)

Discussion:

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. 

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