ABSTRACT
The finding of facial nerve paresis combined with any other evidence of trauma is a red flag for significant injury, and computed tomography (CT) scan evaluation of the temporal bone seeking a fracture should be performed. Cerebrospinal fluid otorrhea – even as a solitary finding – is cause for suspicion, since it rarely is a spontaneous occurrence, and can reflect a blow of significant force, resulting in either temporal bone fracture or rupture of the membranous inner ear.
