The patient in his 40’s presented as a trauma patient after he was involved in a motorcycle accident. The patient was not wearing a helmet at the time of the accident.

The image above demonstrates a depressed occipital skull fracture. Most skull fractures are linear and do not require surgery. In this case, there is a possibility of sagittal sinus disruption, making it a high risk injury. Many depressed skull fracture do require surgical elevation. Significant brain injury also is associated with many depressed skull fractures.