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General Medicine General 4646029d

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?

A
In the temporal region contralateral to the side of pupillary dilatation
B
In the midline if both pupils are equal or it is not known which side dilated first
C
In the left temporal region if no localizing sign is found
D
Refer to higher centre if both pupils are equal or it is not known which side dilated first
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