Aggregate evidence quality	X
Benefits	Timely intervention of injuries requiring neurosurgery; appropriate monitoring and follow up plan for those amenable of conservative treatment
Risk, harm, cost	Use of hospital neurosurgical resources
Benefit-harm assessment	Benefits outweigh harms
Values judgments	When making this recommendation the GDG considered the increased availability in Italy of real-time digital imaging system for telemedicine neurosurgical consultation
Intentional vagueness	None
Role of patient preference	None
Exclusion	Patients with isolated uncomplicated linear skull fractures
Strength	Strong recommendation
Difference of opinion	None