A 37-year old man was admitted in the neurosurgical unit after 6 hours of injury with history of road traffic accident and head injury. He was hemodynamically stable. His GCS was E2M5V2. Pupil was reacting bilaterally and there was mild left sided paucity of movement.

There was no other major injury (spine, abdomen, and chest, long bones were normal). CT scan of brain showed extradural hematoma, mass effect, and skull fracture. For full text Click here