Congenital Frontal-Vault Depression in a Neonate

Congenital depression of the fetal skull unassociated with any acute trauma, typically involving the temporal or parietal areas, is rare. The need for surgical intervention for the deformity remains controversial, particularly with respect to an indentation located in the forehead area. Herein, we report a case of a congenital frontal-vault depression in a neonate that was managed conservatively for nearly 18 months. The shape of the infant’s skull resolved spontaneously with no active intervention. When congenital vault depression is diagnosed, watchful waiting for a year or more may be advisable because spontaneous resolution can be expected.