Elevated or everted skull fracture is defined as a fracture in which the fractured portion is elevated above the level of intact skull.
This pathological entity, even though infrequently encountered in modern surgical practice, was described as early as 1650–1550 BC where it finds a distinct mention in Edwin Smith Papyrus which is a didactic trauma treatise of neurosurgical interest.
Either owing to the rarity of occurrence or neglect, this fracture remained unreported in surgical texts till as late as 1976 when Ralston mentioned its occurrence and reviewed the pathology.
In recent years, these fractures have drawn an increased interest of authors but still only a handful of cases have been reported. These testimonies are seldom able to cite the varied presentation of these pathological entities 1).