Abstract
A 48-year-old woman presented to the emergency department (ED) after a severe blunt head injury. She had bilateral profuse epistaxis and right-sided perforated tympanic membrane with hemorrhage. Computed tomography (CT) of the brain showed an extensive base of skull fracture extending into the right external auditory bony canal. There was also fracture of the right-sided ethmoidal, sphenoid, and frontal sinus. After half an hour in the ED, a gross halo sign was observed.
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