190. Raccoon Eyes

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch190

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) Raccoon Eyes, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch190

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 80, and raccoon eyes;
  • diagnosis - bilateral periorbital hematoma;
  • “Raccoon eyes,” known as bilateral periorbital hematoma - or ecchymosis, sign of basilar skull fracture;
  • raccoon eyes, occurring - blood tracking from fracture along tissue plains, into periorbital tissue;
  • patients, with basilar fractures - complaints of vertigo, tinnitus, dizziness and decreased hearing;
  • periorbital, and mastoid ecchymoses - few hours to appear, absent during evaluation;
  • positive predictive values - for acute intracranial lesions;
  • clinical signs, of raccoon eyes and Battle's sign - high positive predictive values, for skull fractures and intracranial injury;
  • raccoon eyes, commonly seen - with head trauma and skull base fractures, severe thoracic trauma, multiple myeloma, Kaposi's sarcoma

Summary

This chapter contains sections titled:

  • Further reading