Teaching NeuroImages: Unmasking raccoon eyes: A classic clinical sign
Neurology recent issues
A 65-year-old woman presented with head/facial trauma secondary to seizure. Examination revealed right-sided facial contusions and subconjunctival hemorrhage. Over 24 hours she developed bilateral periorbital ecchymoses: "raccoon eyes" (figure 1). Neuroimaging revealed right orbital fracture with hemorrhage into the orbit (figure 2). There was no basilar skull fracture or Battle sign (mastoid ecchymosis).
Original Article: http://www.neurology.org/cgi/content/short/83/4/e58?rss=1
Júlio Pereira
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