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A 17-year-old boy dove to catch a cricket ball and struck his head on a teammate's knee. On initial assessment, the score on the Glasgow Coma Scale was 7 and a left hemiplegia was evident. The patient's right pupil was widely dilated and unresponsive to light. A depressed fracture with extension through the skull base was apparent on a reconstructed computed tomographic scan (Panel A). The patient underwent emergency craniectomy. Despite a ventriculostomy and maximal medical therapy for intracranial hypertension, the intracranial pressure remained refractory, and the patient died four days later. This death was the consequence of relatively minor . . . [Full Text of this Article] |
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