It all started with a fall.

A bruise behind the ear after a blow to the head could indicate a skull fracture. Learn Battleโ€™s Sign and when to go to the emergency room.

A light blow can hide something serious
Often, after a blow to the head, the absence of bleeding or loss of consciousness leads us to believe thereโ€™s no cause for alarm. However, there are silent signs that can indicate a much more serious problem, such as a fracture at the base of the skull.

One such sign is Battleโ€™s sign : a bruise that appears behind the ear, just above the mastoid bone. Although it may look like a simple mark, this hematoma can be a symptom of a serious head injury .

What is the Battle Sign?
Battleโ€™s sign is a clinical manifestation that appears hours after a head injury. It presents as a dark, well-defined bruise behind one or both ears. Its appearance usually indicates internal bleeding at the base of the skull, a particularly sensitive area where vital brain structures are located.

Bruises around the eyes, known as โ€œ raccoon eyes ,โ€ may also appear, another alarming sign of intracranial damage.

What to do if it appears?
The recommendation is clear: go to an emergency room immediately . Donโ€™t minimize it or wait for the bruise to disappear on its own. Timely medical attention can mean the difference between life and death, or between a full recovery and permanent after-effects.

Why shouldnโ€™t it be ignored?
Fractures at the base of the skull can lead to serious complications, such as internal bleeding, brain damage, infections, or increased intracranial pressure. Battleโ€™s sign is not a common symptom, so its presence is a reason for urgent attention .

Conclusion
A simple blow to the head may seem harmlessโ€ฆ until Battleโ€™s Sign appears. Knowing how to recognize this sign can save lives. Donโ€™t ignore a bruise behind the ear or โ€œraccoon eyes.โ€ If you have any concerns, consult a health professional immediately .


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