Raccoon eyes sign (base of skull fracture)

Raccoon eyes sign (or panda eyes in the UK and Ireland) refers to periorbital ecchymosis with sparing of the tarsal plate 3 and is a physical examination finding indicative of a base of skull fracture of the anterior cranial fossa.

However it is not pathognomonic for trauma, and there are several rare causes described, including metastatic neuroblastoma, Kaposi sarcoma, multiple myeloma, and amyloidosis 2.

Inspired signs

Article information

rID: 6937
Section: Signs
Synonyms or Alternate Spellings:
  • Panda eyes
  • Raccoon's sign

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Figure 1: raccoon (photo)
    Drag here to reorder.
  • Figure 2: raccoon eyes (sign)
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.