A 17-year-old boy was working as a caddie when he was struck by a golf ball on the right temple just above and in front of the ear. the boy was transported unconscious to the hospital. in the emergency department, he briefly regained consciousness but then lapsed into unconsciousness again. on examination, the right pupil was dilated and there was decreased muscle tone in the left leg. a babinski reflex was elicited from the left leg but not from the right. lumbar puncture revealed bloody csf with increased pressure. a skull radiograph revealed a compression fracture of the anterior, inferior angle of the parietal bone. the most likely diagnosis of this patient is which of the following?

A 17-year-old boy was working as a caddie when he was struck by a golf ball on the right temple just above and in front of the ear. the boy was transported unconscious to the hospital. in the emergency department, he briefly regained consciousness but then lapsed into unconsciousness again. on examination, the right pupil was dilated and there was decreased muscle tone in the left leg. a babinski reflex was elicited from the left leg but not from the right. lumbar puncture revealed bloody csf with increased pressure. a skull radiograph revealed a compression fracture of the anterior, inferior angle of the parietal bone. the most likely diagnosis of this patient is which of the following?



A. subdural hematoma
B. contusion of the cervical spinal cord
C. extradural hemorrhage
D. arnold-chiari malformation
E. occlusion of the cerebral aqueduct

Answer: C. extradural hemorrhage


Anatomy

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