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Surgery
You are a surgeon posted at CHC. A patient of head injury comes to you with rapidly deteriorating sensorium and progressive dilatation and fixation of pupil. Neurosurgeon and CT scan is not available. You decide to make a burr hole to emergently relieve the intracranial pressure. Which of the following sites will you choose?
In the temporal region contralateral to the side of pupillary dilatation
In the midline if both pupils are equal or it is not known which side dilated first
In the left temporal region if no localizing sign is found
Refer to higher centre if both pupils are equal or it is not known which side dilated first
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