Making a skull fracture claim
A blow to the head in the crash left you with a fractured skull.
A skull fracture is a break in one of the bones protecting the brain. It is usually caused by a direct blow to the head in a road accident.
The real concern is not only the fracture itself. There is also a risk of injury to the brain underneath it, which shapes both treatment and the claim.
This page explains what a skull fracture involves within a road accident claim. It covers the evidence it needs, and how it connects to a possible traumatic brain injury.
What a skull fracture involves
Fractures range from a simple linear crack to a depressed fracture. A depressed fracture is where part of the bone is pushed inward toward the brain.
A depressed fracture is generally more serious, and more likely to involve surgery. Doctors monitor closely for bleeding or swelling inside the skull.
This can develop over hours or days, even when the initial injury looks stable.
How it affects daily life and work
Beyond the fracture itself, effects can include ongoing headaches and sensitivity to noise or light. In some cases there are also hearing or balance problems, where the fracture is near the ear.
Recovery often needs a period of complete rest before any return to work or driving. Where the fracture affected the brain underneath, the wider effects that come with a brain injury may also apply.
The evidence this claim needs
A CT scan taken at the time of the accident is usually the clearest evidence of the fracture. It also shows any bleeding or swelling.
A specialist medical report from a neurosurgeon should follow. It should cover the treatment given, any surgery, and the prognosis for both the bone and the brain.
Follow-up scans, where taken, help show whether the injury has fully settled.
How the injury factors into your claim
General damages are assessed against a published compendium of injury awards, together with the medical evidence.[1] A depressed fracture, or one involving surgery, is generally assessed more seriously than a simple linear crack.
Where the fracture caused injury to the brain itself, the future care and income effects that come with a brain injury can apply alongside the fracture.
Recovery and outlook
A simple linear fracture generally heals on its own over weeks, similar to any other bone. A depressed fracture, or one requiring surgery, generally needs a longer recovery.
Closer monitoring for any lasting neurological effect is also needed.
What to do next
Keep every scan and specialist report from the treating hospital. These form the backbone of the claim.
Getting a specialist report explains what a complete medical report for this type of injury should cover. The general deadline to bring the claim is six years from the accident.[2]
Common questions
Does every skull fracture mean there is a brain injury too?
No. Some skull fractures heal without any lasting effect on the brain, particularly a simple linear crack. Others, especially a depressed fracture or one near a major blood vessel, carry a real risk of brain injury, which is why close monitoring and imaging matter so much.
What scan is most important for a skull fracture claim?
A CT scan taken soon after the accident usually gives the clearest picture of the fracture and any bleeding or swelling inside the skull. This scan, together with the treating doctor's notes, forms the core medical evidence for the claim.
Can a skull fracture affect my hearing?
It can, particularly where the fracture runs near the ear or affects the structures involved in balance and hearing. Any hearing or balance symptoms should be reported to your doctor and included in the medical report supporting your claim.
How long does recovery from a skull fracture usually take?
A simple fracture often heals over some weeks, similar to any other broken bone. A depressed fracture or one requiring surgery generally takes longer and needs closer follow-up to check for any lasting effect on the brain.
Sources
- Malaysian Bar Circular No. 255/2018 (Revised Compendium of Personal Injury Awards 2018) (accessed 2026-09-22)
- Limitation Act 1953, s.6(1)(a) (Government of Malaysia) (accessed 2026-09-22)