Pattern of Skull Fractures and Its Outcome in Pediatric Head Injury Patients

Keywords: Head Injury, Skull fracture, Glasgow coma score, Traumatic brain injury, Glasgow outcome scale.


Objective: Skull fractures are common in pediatric age group. The surgical management of paediatric patients with a skull fracture differs among institutions and surgeons. Our object of this study was to assess the pattern of skull fractures and outcome in paediatric population.

Material and Methods: This study was conducted in the department of neurosurgery of a tertiary care hospital from June 2018 to April 2020. We included 152 children between ages 5 to 11 years who were brought with the head trauma and diagnosed to have skull fracture on computerized tomography (CT) Scan brain.

Results: The mean age of patients was 6.91 + 1.84 years. There were 59.8% males and 40.1% females. The most common type of fracture at presentation was depressed fracture in 42% patients, followed by linear (35%) and compound fractures (23%). Parietal fractures were the commonest (63.1%) in our study. Associated intracranial hematomas were seen in 37.5% patients, epidural hematoma being the most common. Surgically treated patients were 36%. Good recovery was seen in 73% patients while mortality was 10.5%.

Conclusion: Isolated skull fractures are overall benign conditions. Linear parietal skull fractures have good outcome amongst all fracture types.

Author Biographies

Ghulam Muhammad, Jinnah Postgraduate Medical Centre, Karachi.

Consultant Neurosurgeon


Farrukh Javeed, Jinnah Postgraduate Medical Centre Karachi.

Consultant Neurosurgeon

Lal Rehman, Jinnah Postgraduate Medical Centre, Karachi.

Professor and Head of Department


Asad Abbas, Jinnah Postgraduate Medical Centre, Karachi.

Consultant Neurosurgeon

Ali Afzal, Jinnah Postgraduate Medical Centre, Karachi.

Consultant Neurosurgeon


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Original Article