The paper reports the case of a 14-year-old boy with skull base fracture due to head trauma. The skull base fracture represents around 20% of skull fractures after trauma and has to be suspected considering the dynamics of the trauma and the clinical picture because of its high association with intracranial injury. Non-contrast CT is the gold standard for its diagnosis and the patient management should be shared with the neurosurgeon to evaluate whether surgery may be necessary.