Medical MCQ-What is the ideal site to make a burr hole in a patient of head injury with rapidly deteriorating sensorium & progressive dilatation of pupil with no localizing sign?

What is the ideal site to make a burr hole in a patient of head injury with rapidly deteriorating sensorium & progressive dilatation of pupil with no localizing sign?

Right temporal region

Left temporal region

Midline

Left parietal region

Question Category:

Surgery

Correct Answer:

Left temporal region

Description:

Burr hole surgery should be done by taking into consideration side of pupillary dilatation 1. One sided pupillary dilatation: Burr hole on that side 2. Both sided pupillary dilatation: Burr hole on the side of first dilated pupil/ side with obvious external trauma. 3. No localizing sign: Burr hole on the side of dominant hemisphere i.e left temporal.

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