Some cases of head trauma cause skull fractures, and some of these skull fractures involve the temporal bone. Depending on the pattern of the temporal bone fracture, a variety of symptoms can occur, including facial weakness, hearing loss, and disequilibrium. Acute care often involves a trauma surgeon, otolaryngologist, and neurosurgeon. Almost all patients undergo imaging (such as a temporal bone CT and a brain MRI). Longer-term care may involve an audiologist and vestibular rehabilitation therapy.