Part 5 · Brain and Spine
Same concept, other depth: Clinical Reasoning →
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A young man is hit on the side of the head with a cricket ball, is briefly knocked out, then wakes up and talks normally for an hour. Then he becomes drowsy and his pupil enlarges. CT shows a white lens‑shaped collection under a temporal bone fracture: an extradural haematoma from a torn middle meningeal artery. Emergency surgery saves him. This is the "talk and die" pattern.
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