Another injury often forgotten is cranial compression, caused (in this case) by a bleed inside the skull putting pressure on the brain. Signs and symptoms may not show for up to 48 hrs after the impact and it can be fatal (the actress Natasha Richardson is a good example). It is the reason that children bring home notes from school saying they have bumped their head. Treatment is removing a section of the skull to allow the swelling to expand outwards and relieve pressure on the brain.
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