Relevant physical exam findings included hemotympanum
with periorbial ecchymyosis and pupils that were dilated to 6mm and sluggish.
Other signs include otorrhea or rhinorrhea (leakage of CSF), hemotympanum
, Battle's sing (postauricular ecchymoses) and raccoon eyes (periorbital ecchymoses and edema)
His tympanic membranes were intact bilaterally, and no hemotympanum
Patients might present with hemotympanum
and an intact tympanic membrane.
Physical findings of basilar skull fracture, such as hemotympanum
, raccoon eyes, Battle's sign, or evidence of a cerebrospinal leak.
Clinical signs of basilar skull fracture: Retroauricular bruising--Battle's sign (periorbital bruising)--raccoon eyes, hemotympanum
, or cerebrospinal fluid otorrhea or rhinorrhea.
A detailed history and full physical examination on an unclothed infant, including an otoscopic examination for hemotympanum
and a fundoscopic examination for retinal hemorrhage, should be obtained (Pitetti et al.
If posttraumatic hemotympanum
is the cause of CHL, symptoms should improve as the hemorrhage resolves.
Complications may include blood in the external auditory canal, hemotympanum
, ossicular chain disruption and, less commonly, facial nerve paralysis.
Signs of a basal skull fracture (blood or cerebrospinal fluid from ear or nose, panda eyes, Battle's sign, hemotympanum
, facial crepitus, or serious facial injury)
has many causes, including temporal bone fractures, barotrauma, administration of anticoagulants, hematologic disorders, and chronic otitis media secondary to the formation of granulation tissue or a cholesterol granuloma.
The right side of the patient's face drooped and his tympanic membranes were clear, with no hemotympanum