Case 348

Medical history

Male, 82 years, reported self-height fall at home 8 hours prior to admission, without conscience loss. At first examination he presented a clear airway, no respiratory abnormalities, hemodynamic stability, Glasgow Come Scale of 15, isochoric and photoreactive pupils and a blunt cut injury on the right frontal region. The neurologic examination was normal. He denied comorbidities and medication use. A CT of the skull and face was performed, showing the following images.


Considering the clinical history and the presented images, which is the correct approach at the moment?

Test question

(Instituto de Assistência Médica ao Servidor Público Estadual - SP, 2015)

The clinical sign of base of skull fracture is:

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