On June 14, 2010, the U.S. Office of Personnel Management issued final regulations to modify its definitions of family member and immediate relative, and add related definitions (75 FR 33491), in response to Section 1 of the President's June 17, 2009, Memorandum for the Heads of Executive Departments and Agencies on Federal Benefits and ...
A fracture to the base of the skull can also cause bleeding from the ears. Usually there is a CSF leak out of the ear (otorrhea) and nose (rhinorrhea). Blood will only be evident if there is also a rupture of a blood vessel with the blood mixing with CSF and exiting out of the ears.
The cause usually involves vascular, tumor or muscular causes. A blood vessel may be close to the eardrum, a vascular tumor such as a glomus may fill the middle ear, or a vein similar to a varicose vein may make enough noise to be heard. Other possibilities include dehiscence of the jugular bulb, and an aberrantly located carotid artery.