A fractured skull depends on many things . First a doctor is going to see if it is an open (depressed) or closed fracture. An open fracture is very serious , as it can lead to bleeding in the brain due to blood vessels that cover the brains lining rupturing. If the fracture is located on the skull base, and causes a tear in the meninges, fluid can possibly leak through the ears, or even the nose, and this can lead to infection and serious brain damage. If bone fragments press against the brain, this may require surgery and can be very serious as well. A neurosurgeon may have to work with the patient in order to drain blood, and fix arteries that may have been damaged. If there are no symptoms, it is possible that this can resolve itself without further treatment, however doctor evaluation is necessary, as there is no way without testing to determine if there is indeed a fracture, or how bad it is. Fractures can lead to meningitis, or encephalitis which can be a very severe swelling in the brain. The person may become physically or mentally disabled, and furthermore, death can arise from complications. It takes a long time for a person to recover from this type of injury if complications such as brain damage occured. I hope this information was useful to you. Thank you.