A patient is admitted to the hospital following a motor vehicle accident. The patient has an oval shaped bruise behind the right ear in the mastoid region, a very runny nose, and is unable to move the muscles in the right side of his face. Which skull fracture do these clinical manifestations correspond to?.

A basilar skull fracture involves at least one of the bones that make up the base of the skull and is typically brought on by severe blunt force trauma. Basilar skull fractures typically affect the temporal bones, but they can also affect the frontal bone's orbital plate, occipital, sphenoid, and ethmoid. Hemotympanum, cerebrospinal fluid (CSF) otorrhea or rhinorrhea, Battle sign (retroauricular or mastoid ecchymosis), and raccoon eyes are a few clinical exam findings that are highly predictive of basilar skull fractures (periorbital ecchymosis). Facial fractures, cervical spine injury, cerebral bleeding, cranial nerve injury, vascular injury, and meningitis are frequently linked to basilar skull fractures. [1] [2] [3] [2]

Due to their inclination to engage in high-risk activities, younger persons are more likely to sustain basilar skull fractures. Conservative treatment is used to treat the majority of basilar skull fractures.

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