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In a planned secondary analysis of a prospective study of children with blunt head trauma in the Pediatric Emergency Care Applied Research Network (PECARN), investigators determined the incidence of neurologic deterioration and new intracranial traumatic findings on follow-up imaging among children with isolated linear skull fractures. Previously healthy children with Glasgow Coma Scale scores ≥14 and no other evidence of intracranial injury were included; children with depressed or basilar skull fractures were excluded. Cranial imaging was performed at the treating physician's discretion.
From 2004 to 2006, 350 patients (median age, 10 months; 63% <2 years of age) were diagnosed with isolated linear skull fractures; 201 were hospitalized an…