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2832 Surgery

You are surgeon posted at CHC. A patient of head injury come to you with rapidly deteriorating sensorium and progressive dilation 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

AIn the temporal region contralateral to the side of pupilary dilatation
BIn the midline if both pupils are equal or it is not known which side dilated first.
CIn the left temporal region if no localising sign is found
DRefer to higher centre if both pupils are equal or it is not known which side delated first.
Surgery
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