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Acute Head Injury acute subdural hemorrhage alterations anesthesia bilateral bleeding blood pressure brain stem cerebral artery cerebral contusion cerebral laceration cerebral swelling cerebral tissue cerebrospinal fluid changes chronic subdural hematoma clinical concussion cortex debridement diagnosis dilated disturbance dura dural edema epidural clot epidural hemorrhage evacuation extradural clot Figure flap hemisphere herniation histological hospital increased intracranial pressure instances intracerebral hematoma intracranial cavity laceration layers loss of consciousness lumbar puncture mechanism midbrain middle meningeal artery nerve Neurol neurological Neurosurg normal occasionally occipital lobe occurs in association operation oxygen pathological patient perivascular petechial physiological posterior problem Psychiat pupils reflexes region removed result scalp Scheinker seen showed signs skull fracture space-consuming lesion stage studies subarachnoid subdural clot subdural hematoma subdural hemorrhage subdural space subtemporal Surg surgeon surgical suture temporal lobe therapy tion trauma treatment uncal herniation unconscious vascular venous ventricle vessel wall white matter wound