31-year-old Man in Surgery — 31yo Man | Neurosurgery | SMLE Q#16734
SMLE Question #16734
Surgery
Neurosurgery
Objective: OBJ-310
Last updated: February 2026
A 31-year-old man is brought to the emergency department after a high-speed road traffic accident. He briefly lost consciousness at the scene, then became fully oriented during transport. Shortly before arrival, he became unresponsive again. In the ED, he suddenly loses consciousness, and the left pupil becomes dilated and non-reactive to light. Initial trauma imaging suggests a left temporal bone fracture. What is the most likely diagnosis?
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