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June 30, 1956


JAMA. 1956;161(9):875-876. doi:10.1001/jama.1956.62970090016017h

Skull fracture in newborn infants is due to some form of trauma. In most instances, the trauma occurs at birth. The skull fracture is discovered when subsequent neurological symptoms and signs develop. However, the majority of infants who receive cranial trauma and who develop neurological findings show no evidence of skull fracture. In a series of 98 infants with proved subdural hematoma, only 11 had roentgenologic evidence of skull fracture.1 The natural resiliency of the infant skull is responsible, primarily, for the lack of traumatic skull fracture.2 Skull fractures, in infants, are more commonly of the linear type and basilar in location. The clinical significance of skull injury in a newborn infant rests upon the degree of accompanying cerebral injury.

Report of a Case  A 10-day-old infant, the first-born of triplets, was admitted to St. Luke's Hospital July 3, 1955, for treatment of a head injury. The injury