Skull fractures are common in children and result from accidents (the majority are automobile or auto/bike accidents) or abuse. Battle's sign is seen several days following a basilar skull fracture. There may have been bloody drainage from the ear immediately after the fracture occurred.
Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.