Recovery Timeline for Skull Fractures in Children: What to Expect - Neurosurgery

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Recovery from a skull fracture?


Hello, I would like to consult a physician.
An eight-year-old child experienced a severe head injury while playing, resulting in a skull fracture and underwent surgery for hemostasis (epidural hematoma).
It has been three months post-surgery, and currently, there are no significant issues with the limbs or with hearing, speaking, reading, and writing.
I would like to inquire about the typical healing time for a skull fracture.
Additionally, when can the child resume activities such as jumping rope and running? Currently, the child is limited to walking and brisk walking.
Thank you.

Xiao Guai, 10~19 year old female. Ask Date: 2018/03/21

Dr. Lai Zhaokang reply Neurosurgery


Hello: Generally, it takes about three months for a fracture to heal, and the brain should also be more stable by then.
For exercise, it is recommended to start with gentle activities.
If you want to engage in high-impact exercises like jumping rope or running, which can cause significant jolting to the brain, it would be better to wait another three months and assess your capabilities.
If you feel uncomfortable, you should pause those activities.
Best wishes, Neurosurgeon Dr.
Lai Chao-Kang.

Reply Date: 2018/03/21

More Info


When it comes to skull fractures in children, particularly those that require surgical intervention, it is essential to understand the recovery timeline and what to expect during the healing process. In your case, your eight-year-old child has undergone surgery for a skull fracture, which is a significant step in managing the injury.
Typically, skull fractures in children can take anywhere from 6 to 12 weeks to heal, depending on the severity of the fracture and the specific area of the skull that was affected. Since your child had surgery to address a subdural hematoma (bleeding under the dura mater), the healing process may take a bit longer due to the additional trauma and the body's need to recover from the surgical procedure. Generally, after three months, you may start to see signs of improvement, such as the ability to engage in more physical activities.

In terms of resuming physical activities like jumping rope or running, it is crucial to follow your child's healthcare provider's recommendations. Usually, children can gradually return to light physical activities around 6 to 8 weeks post-surgery, but more vigorous activities should be approached with caution. By the three-month mark, if your child is doing well and has no complications, they may be cleared for more intense activities. However, this should always be confirmed with your child's doctor, who can assess their specific situation and provide tailored advice.

During the recovery period, it is essential to monitor your child for any signs of complications, such as increased headache, dizziness, nausea, or any changes in behavior. These could indicate issues such as increased intracranial pressure or other complications that may require immediate medical attention.
In addition to physical recovery, cognitive rest is also important. Children who have suffered a head injury may experience cognitive fatigue, so it is advisable to limit activities that require intense concentration, such as reading or extensive screen time, especially in the early stages of recovery. Gradually reintroducing these activities can help ensure that your child is not overwhelmed.

Moreover, it is vital to maintain regular follow-up appointments with your child's healthcare provider. These visits will allow the doctor to monitor the healing process through physical examinations and possibly imaging studies, if necessary. They can also provide guidance on when it is safe to return to sports or other high-impact activities.

In summary, while the recovery timeline for skull fractures in children can vary, most children can expect to see significant healing within 6 to 12 weeks. By three months post-surgery, many children can resume more active lifestyles, but it is crucial to do so under medical guidance. Always prioritize your child's safety and well-being by staying in close communication with their healthcare team throughout the recovery process.

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