A 20 year old male come to casuality with head injury. Examination reveals normal counsciousness, clinically normal and blood in the tympanic membrane. Most likely cause is: (A) Extradural haemorrhage, (B) Sudural haemorrhage, (C) Intraventricular haemorrhage, (D) Complete basilar fracture
Answer is D. Skull Base fractures Anterior Cranial Fossa Fracture Subconjuctival hematoma CSF Rhinorrhea Carotico-cavernous fistula Periorbital hematoma or "Raccoon eyes" Middle Carnial Fossa Fracture CSF otorrhea or Rhinorrhea Hemotympanum Ossicular disruption Battle sign: Brusing behind the ear 7th & 8th cranial nerve palsies Ref: Bailey and love 27th edition Pgno :333