A Rare Case of Apparently Spontaneous Skull Depression Incidentally Detected in a Newborn Following Cesarean Section

In the neonatal period, cranial bones are thin and flexible, with open sutures. While this allows for protection during birth, it also increases the risk of skull depressions. These depressions may result from birth trauma, spontaneous causes, or medical interventions. However, cases without clear risk factors are rare. A term newborn, delivered via emergency cesarean section at 37 weeks due to cephalopelvic disproportion, was found to have a 1 cm depression in the parietal bone. Imaging revealed no fracture lines, and the appearance was consistent with a ping-pong skull depression, likely occurring in utero. Neurological examination was normal. The infant was given vitamin D and followed with conservative management. At one-month follow-up, partial resolution of the depression was observed. Continued clinical and neurological monitoring was planned. Cranial depressions in newborns do not always require surgical intervention. In selected cases, conservative treatment can lead to spontaneous improvement.