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06 / Neurosurgery · clerkship

Talked, then deteriorated

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

The lucid interval

He was knocked out for a minute, woke fully, walked to the ambulance and gave a clear history. Ninety minutes later his Glasgow Coma Scale has fallen from 15 to 11 and he is vomiting. The right pupil is 5 mm and sluggish.

Open in 3D: the brain and cranial nerves

The bradycardia with hypertension and a dilating pupil represents:

SurgSpace TutorContext-aware, and it will not spoil the case.