but this is not the current standard and there is no evidence supporting this application Management Unilateral, linear, nondepressed skull fractures without underlying intracranial injury typically heal spontaneously and not necessitate immediate neurosurgical intervention Recent evidence suggests that an increasing number of patients are managed on an outpatient basis with less than 1% of patients who returned after initial discharge from the ED necessitated neurosurgical intervention Patients with a nonfocal neurologic examination who are asymptomatic may be discharged from the ED if there is no concomitant intracranial injury, distracting traumatic injury, nor a concern for nonaccidental trauma