William Henry Battle and Battle's sign: mastoid ecchymosis as an indicator of basilar skull fracture

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R. Shane Tubbs Division of Neurosurgery, University of Alabama at Birmingham, Alabama;

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 M.S., P.A.-C., Ph.D.
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Mohammadali M. Shoja Clarian Neuroscience Institute, Indianapolis Neurosurgical Group, and Indiana University Department of Neurosurgery, Indianapolis, Indiana

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 M.D.
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Marios Loukas Department of Anatomical Sciences, St. George's University, Grenada, West Indies; and

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 M.D., Ph.D.
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W. Jerry Oakes Division of Neurosurgery, University of Alabama at Birmingham, Alabama;

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Aaron Cohen-Gadol Clarian Neuroscience Institute, Indianapolis Neurosurgical Group, and Indiana University Department of Neurosurgery, Indianapolis, Indiana

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 M.D., M.Sc.
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William Henry Battle (1855–1936) practiced medicine in England > 1 century ago and is primarily remembered for his description of ecchymosis over the mastoid, which indicates fracture of the skull base. Although Mr. Battle made many contributions to medicine, almost nothing exists in the literature regarding his life and findings, especially in regard to head injury. The following is a review of Battle's background and his contributions to medicine, specifically his observations associated with basilar skull fractures.

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