Home / Visual Diagnosis # 13 : Answers

Visual Diagnosis # 13 : Answers


The patient’s GCS is 12

Eye: The patient is able to open his eyes in response to voice (3 points)

Voice: He is confused and disoriented (4 points)

Motor: He localizes painful stimuli (5 points)




The image reveals Hemotympanum which is associated with a basilar skull fracture. A basilar skull fracture involves a fracture in the posterior skull base or the anterior skull base. A breakage in the posterior skull base may involve a fracture of the occipital bone, temporal bone, or the sphenoid bone. A break in the anterior skull base may involve breakage of the sphenoid bone or ethmoid bone. Only about 4% of severe head injuries involve a basilar skull fracture.




Other delayed physical findings associated with basilar skull fracture, include….

 Raccoon Eyes








and mastoid bruising called Battle’s Sign.







Want to read more…?


Basilar Skull Fractures


MedscapeSkull Fractures


Base of Skull Fracture – LITFL



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