RT Journal Article SR Electronic T1 Vacuum extraction as a treatment modality of neonatal skull depression in a twin infant JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1122 OP 1124 VO 28 IS 7 A1 Amin, Adnan A1 Al-Zeky, Alaauddin M. A1 El-Azm, Mowaffak YR 2007 UL http://smj.org.sa/content/28/7/1122.abstract 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.