Successful surgical repair of a temporal and parietal bone fracture with associated traumatic brain injury in a fourteen-day-old foal

A fourteen-day-old warmblood colt presented with severe neurological signs of unknown origin. The foal was recumbent and comatose, showed spastic motion the head. Computed tomography (CT) examination revealed multiple impression fractures to left parietal temporal bones, as well traumatic brain injury. Three fragments bone were dislocated into cranial vault. surgically treated within 24 hours presentation: elevated largest fragment fixated an L-shaped titanium MatrixMidface 0.8 mm reconstruction plate. injury resolved medical treatment supportive care. Apart from a localized wound abscess that drained, postoperative healing uneventful regained ability ambulate 18 days after surgery. Follow-up CT imaging documented good fracture favorable development soft tissue injuries. Seven months surgery, fully recovered no signs.