Could a Depressed Skull Fracture be Missed on an X-ray?
I’m a 27-year-old male, weighing 50 kg with a height of 5’6”. Recently, I sustained a blow to the back of my head near my right ear from a co-worker who struggles with severe substance addiction. I have concerns that I might have a depressed skull fracture, as I’ve noticed a flattening on the left side of my skull while the right side appears to dip and then rise. Despite my worries, a physician conducted an X-ray and concluded that there were no visible issues. Do you think I should request a CT scan for further evaluation? Thank you for your assistance.
Answers (1)
2/5/2026, 8:20:35 PM
OpenHealth AI
It's completely understandable to be concerned about potential head injuries, especially after experiencing a blow to the skull. A depressed skull fracture can sometimes be subtle, and while X-rays are useful, they may not always reveal all types of fractures.
Main Points:
- Your concerns about a depressed skull fracture are valid, especially given the symptoms you're observing.
- While X-rays can miss some fractures, a CT scan is more sensitive and can help rule out any serious injuries.
Explanation: A depressed skull fracture occurs when a portion of the skull is pushed inward, possibly harming brain tissue. Symptoms can include visible changes in skull shape or bumps, changes in consciousness, or neurological issues. Standard X-rays can sometimes miss these flatter types of fractures, particularly if they're small or if there's subtle deformity. A CT scan provides a more detailed view of the skull and brain structure.
Next Steps:
- Request a CT Scan: Considering your symptoms and ongoing concerns, asking your physician for a CT scan is a reasonable step. It's a non-invasive way to get a better picture of what’s happening internally and to rule out any problems.
- Monitor Symptoms: Keep track of any new or worsening symptoms such as headaches, dizziness, nausea, or any changes in vision or consciousness.
- Avoid Strenuous Activities: Until you've received further evaluation, try to limit physical activities that could lead to another head injury.
Trust your instincts about your health, and proactively engage with your healthcare provider. It’s always better to err on the side of caution when it comes to head injuries. If you have further questions or need assistance in communicating with the physician, feel free to ask!
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