Raccoon eyes sign (base of skull fracture)

Raccoon eyes sign (or panda eyes in the UK and Ireland) is due to periorbital ecchymosis and is specific for 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
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Article information

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

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