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What are skull fractures? — A fracture is another word for a broken bone. When people have a skull fracture, they have broken 1 or more bones of their skull (head) (figure 1).
Skull fractures can happen when a person is hit hard on the head. Common causes of skull fractures are falls, car accidents, and sports injuries.
There are different kinds of fractures, depending on how the bone breaks. Some fractures are more serious than others. If the bone is only cracked, the fracture is usually not as serious. But if part of the bone is pushed in toward the brain, the fracture is more serious.
In some cases, skull fractures can lead to serious problems, including:
●Brain damage
●Bleeding in or on top of the brain
●An infection of the tissues around the brain and spinal cord
●Seizures – Seizures are waves of abnormal electrical activity in the brain. They can make people pass out, or move or behave strangely.
What are the symptoms of a skull fracture? — Symptoms can be mild or severe, depending on where the fracture is and how serious it is. Possible symptoms can include:
●Pain, swelling, or bleeding where the injury is – Sometimes, it takes a day for the swelling to start.
●A headache
●Feeling very tired, confused, or dizzy, or passing out
●Bruising around the eyes or behind the ear
●Bleeding from the nose or ear
●Clear fluid draining from the nose or ear – This is spinal fluid, the fluid that surrounds the brain and spinal cord.
●Vomiting
●Trouble smelling, hearing, or seeing
●Weakness or numbness of the face
Is there a test for a skull fracture? — Yes. The doctor will ask about your symptoms and injury, and do an exam. To look for a fracture, they can do a CT scan of the head. This is an imaging test that creates pictures of the skull and brain.
The doctor might also do an MRI or other imaging tests.
How are skull fractures treated? — Treatment depends on the type of fracture and where it is.
Many people will not need any treatment. If the skull bone only cracks but doesn't move out of place, people usually don't need treatment. But their doctor will watch them to follow their symptoms.
People whose symptoms go away after a short time can usually leave the hospital after a few hours. But the doctor will probably recommend that someone watch them at home for 24 hours to make sure that their symptoms don't get worse.
People who have a serious fracture, or symptoms that get worse, might need to stay in the hospital for a longer time. Older people, or people who take medicines that increase their risk of bleeding, usually also need to stay in the hospital. Depending on the situation, people might be treated with:
●Antibiotic medicines to prevent infections
●Anti-seizure medicines to prevent seizures
●Treatments to lower the risk of bleeding
●Vaccines – Vaccines can prevent certain serious or deadly infections.
●Surgery
When should I call the doctor or nurse? — After a head injury, there are certain problems that you or your caregiver should watch for.
Someone should call for an ambulance (in the US and Canada, call 9-1-1) if you:
●Are very sleepy (more than expected) or hard to wake up
●Are acting confused or disoriented
●Have behavior changes like angry outbursts, strange behavior, or thoughts of hurting yourself or others
●Have trouble speaking, have slurred speech, or are not making sense when you talk
●Have blurry eyesight, double vision, or other problems seeing
●Have blood or clear liquid draining from your ears or nose
●Feel dizzy or faint
●Stumble or have trouble walking
●Seem weak or have numbness of your arm, leg, or other body part
●Have a seizure, or have jerking of your arms or legs that you cannot control
Call the doctor or nurse for advice if you:
●Have trouble concentrating or thinking clearly
●Have trouble remembering things
●Have nausea or vomiting that is not improving
●Have a stiff neck
●Have a headache that gets worse, feels different, or does not get better with over-the-counter medicines
What can people do to help prevent skull fractures? — To help prevent skull fractures, you should:
●Wear a helmet when you ride a bike or motorcycle, or play certain sports.
●Wear a seat belt every time you drive or ride in a car.
Patient education: Facial fractures (The Basics)
Patient education: Head injury in children and teens (The Basics)
Patient education: Concussion in adults (The Basics)
Patient education: Going home from the hospital (The Basics)
Patient education: Headaches in adults (The Basics)
Patient education: Meningitis in children (The Basics)
Patient education: Vertigo (a type of dizziness) (The Basics)
Patient education: Seizures (The Basics)
Patient education: Head injury in adults (The Basics)
Patient education: Nose fracture (The Basics)
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