30yrs female had H/0 fall from stairs yesterday night presented with B/L periorbital contusion/RACOON eyes.pt vitals r stable n no FND seen.GCS 15/15.NCCT done.any skull base fracture seen in CT?



No fracture diffuse cerebral oedema

Thank you doctor

Base of skulls no bony injury Oedema Brain

Valuable opinion

In these sections brain scan appears ok. Check thoroughly for maxillofacial injuries in facial aspects of CT. Bilateral periorbital oedema, possible widening of nasal region etc all are suggestive of lefort 3 fracture. Eye movement, occlusion etc have to be checked properly. I would suggest to get the maxillofacial surgeon opinion after neuro clearence

M man p