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The fight broke out at about 2:30 pm Friday near Hazelwood High School.
Video of the incident circulated on social media showing another girl bashing the teen's head into the concrete after throwing multiple punches and sending her careening to the ground.
The victim appeared to begin to have a seizure as groups of other teens brawled just feet away.
Police found the girl suffering from a serious head injury near the intersection of Norgate Drive and Claudine Drive, roughly a five-minute walk from the high school campus.
A Missouri teen is in critical condition after being caught up in a brawl by a local high school
Viral video shows another teen smashing her head into the pavement repeatedly before the victim appears to suffer a seizure
The teen, whose name has not been released, was taken to the hospital and remains in critical condition.
A 15-year-old girl was arrested Saturday and charged with assault. She was taken to the St. Louis County Family Court and remained in custody as of Sunday afternoon.
The St. Louis County Police Department is investigating the incident.
After news of the altercation broke, the Hazelwood School District released a statement condemning violence within the community.
'It is a tragedy anytime children are hurt,' the statement read. 'Bullying and fighting in the community is an issue for which we all need to take ownership and work towards a resolution for the sake of our children.
Police found the girl suffering from a serious head injury near the intersection of Norgate Drive and Claudine Drive. The fight broke out just off campus from Hazelwood East High School
The Hazelwood School District issued a statement denouncing bullying and fighting within the community
'The Hazelwood School District offers our sincerest condolences to everyone involved and will offer additional emotional support from our support and crisis team to those in need.'
The statement urged community members to respect the families of those involved and 'pledge to help work toward the betterment of our entire community.'
The district recently came under fire for disenrolling more than three dozen middle schoolers in late February and early March.
The school district’s public relations director, Jordyn Elston, told STLPR that the students were ejected because of 'expired residency information.'
Of the 40 students who received letters informing them of the district's decision, thirty-eight were re-enrolled within a week after providing updated information, the district said.