31-year-old Man in Surgery — 31yo Man | Neurosurgery | SMLE Q#16446
SMLE Question #16446
Surgery
Neurosurgery
Objective: OBJ-134
Last updated: February 2026
A 31-year-old man is brought to the emergency department after a high-speed road traffic accident. Paramedics report he was initially fully oriented (GCS 15) but had a brief episode of unresponsiveness en route and then recovered. Shortly after arrival, he becomes suddenly unconscious again, and examination shows a dilated, nonreactive left pupil. A non-contrast CT head notes a left temporal bone fracture. Which of the following is the most likely diagnosis?
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