▁notice ▁sympt oms ▁of ▁hem ot ym pan um , ▁call ▁your ▁doctor ▁immediately ▁to ▁avoid ▁any ▁other ▁comp lications . ▁__ TO C __ ▁ ▁Pres entation ▁▁ ▁The ▁most ▁common ▁sympt oms ▁of ▁hem ot ym pan um ▁are : ▁ ▁pain ▁ ▁sense ▁of ▁full ness ▁in ▁the ▁ear ▁ ▁hearing ▁loss ▁ ▁C aus es ▁▁ ▁Bas al ▁sk ull ▁f ract ure ▁ ▁A ▁bas al ▁sk ull ▁f ract ure ▁is ▁a ▁f ract ure ▁in ▁one ▁of ▁the ▁b ones ▁at ▁the ▁base ▁of ▁the ▁sk ull . ▁This ▁is ▁almost ▁always ▁caused ▁impact ▁tra uma , ▁a ▁hard ▁fall , ▁or ▁a ▁car ▁accident . ▁ ▁If ▁your ▁temporal ▁b one ▁is ▁involved , ▁you ▁may ▁have ▁hem ot ym pan um ▁along ▁with : ▁▁ ▁c ere bro sp inal ▁fluid ▁( CS F ) ▁coming ▁out ▁of ▁your ▁ear ▁ ▁d izz iness ▁ ▁bru ising ▁around ▁your ▁eyes ▁or ▁behind ▁your ▁ears ▁ ▁fa cial ▁weak ness ▁ ▁difficulty ▁seeing , ▁sm elling , ▁or ▁hearing ▁ ▁Sk ull ▁f ract ures ▁usually ▁he al ▁on ▁their ▁own , ▁but ▁it ’ s ▁important ▁to ▁get ▁immediate ▁medical ▁treatment ▁because ▁they ▁can ▁also ▁cause ▁several ▁comp lications . ▁If ▁you ▁have ▁C SF ▁le aking ▁out ▁of ▁your ▁ear , ▁for ▁example , ▁you ’ re ▁at ▁a ▁higher ▁risk ▁of ▁developing ▁men ing itis . ▁You ▁may ▁also ▁need ▁cort ic ost ero ids , ▁ant ib iot ics , ▁or