Post- traumatic compound elevated fracture of skull simulating a formal craniotomy.

Fracture of the cranial bones following trauma is common. The fracture most commonly encountered in clinical practice is an undisplaced linear fracture of a skull bone or a depressed skull fracture. Compound elevated skull fracture, unlike depressed skull fracture is an extremely rare variety of post-traumatic cranial injury, seldom seen in modern clinical practice. Authors report one such rare case of compound elevated skull fracture, simulating a formal frontoparietal craniotomy, in a 20-year-old male patient following a railway accident. The mechanism of its production as well as the management of such injury is discussed.