title: A curious case of spontaneously resolving closed "jigsaw" depressed skull fracture in an adolescent.
abstract: Spontaneously resolving depressed skull fractures have been previously reported in the pediatric age group, however they are very rare in adolescents. We report a case of spontaneously elevating depressed fracture in a 13 year old boy. Depressed skull fractures in this age group might resolve on its own but may also complicate during its course of non-operative self elevation. In the reported case, the child developed gliosis and suffered seizures two years after the trauma. Repeat scans showed almost normal skull topography with underlying gliotic changes. Although all depressed skull fractures won't complicate as such, patients without neurological deficits should also be operated to prevent any delayed complications.
authors.affiliation: Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
authors.forename: Viraat
authors.initials: V
authors.lastname: Harsh
authors.affiliation: Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
authors.forename: Saurav Kumar
authors.initials: SK
authors.lastname: Besra
authors.affiliation: Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
authors.forename: Jayendra
authors.initials: J
authors.lastname: Kumar
authors.affiliation: Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Kumar
keywords: Depressed fracture; pediatric head injury; skull fracture