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Basilar fractures of the skull, also known as base of skull fractures, are a common form of skull fracture, particularly in the setting of severe traumatic head injury, and involve the base of the skull. They may occur in isolation or often in continuity with skull vault (calvarial) fractures or facial fractures. Epidemiology The majority of basilar fractures occur as a result of motor vehicle accidents, with sports injuries, falls and assault being other frequently encountered antecedents 2. Clearly, the relative incidence and demographics affected will vary widely depending on regional differences and mechanism. Clinical presentation Skull base fractures are often encountered in the setting of severe head injury and thus the damage to the underlying brain and/or intracranial hemorrhage dominate the clinical presentation. It is also rare to not obtain a CT of the brain in all such cases, however, historically a number of signs were described as being helpful in suggesting the presence of a base of skull fracture: anterior cranial fossa fracture CSF rhinorrhea raccoon eyes sign petrous temporal bone fracture Battle sign CSF otorrhea otorrhagia Pathology #cranialbasefracture #basilarfracture