A 17-year-old boy is brought to the emergency department by ambulance. Patient History: He had been playing hockey and was struck on the head by a hockey ball approximately half an hour before admission. He lost consciousness briefly but could walk from the scene. He is mildly confused, complaining of a severe headache, and has vomited four times. Physical Examination: He has a pulse rate of 63/min and a blood pressure of 170/110 mmHg. During the examination, he becomes drowsy and his GCS drops to 3/15. He has a ‘boggy swelling’ over the right temple.
His right pupil is dilated. A CT scan of the head was ordered (image attached). What is the probable diagnosis? How should this patient be managed? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: 100 Cases in Surgery
