PT - JOURNAL ARTICLE AU - Amin, Adnan AU - Al-Zeky, Alaauddin M. AU - El-Azm, Mowaffak TI - Vacuum extraction as a treatment modality of neonatal skull depression in a twin infant DP - 2007 Jul 01 TA - Saudi Medical Journal PG - 1122--1124 VI - 28 IP - 7 4099 - http://smj.org.sa/content/28/7/1122.short 4100 - http://smj.org.sa/content/28/7/1122.full SO - Saudi Med J2007 Jul 01; 28 AB - The management of depressed skull fractures in the newborn infant can be controversial. In this article, we report a case of twin pregnancy wherein one of the fetuses had depressed skull fractures that was not associated with any known trauma during the pregnancy or at delivery. This ping-pong skull depression was treated by elevation with an obstetrical vacuum extractor. No complications occurred. The possible etiologies and treatment modalities for neonatal depressed fractures, being conservative or operative, are discussed.