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accumulation acute head injury acute subdural adequate alterations anesthesia angiography Arch atropine bilateral bleeding bone brain damage brain stem cells cerebral contusion cerebral swelling cerebral tissue cerebrospinal fluid changes chronic subdural hematoma circulation circumstances clinical coma compression concussion cranial debridement depressed diagnosis dilated disturbance dura dural effect epidural clot epidural hemorrhage evacuation evidence extradural clot Figure frontal hemisphere herniation histological hospital increased intracranial pressure infection intracerebral intracranial cavity intracranial pressure laceration loss of consciousness Lumbar puncture mechanism midbrain middle meningeal artery nerve Neurol neurological Neurosurg normal nursing occipital lobe operation paresis pathological patient petechial physiological posterior fossa problem Psychiat pupil region result reticular scalp Scheinker shift signs sinus skull fracture studies subarachnoid space subdural hematoma subdural hemorrhage subdural space subtemporal supratentorial Surg surgeon surgical suture temporal lobe tentorial therapy tion trauma treatment tube unconscious vascular venous vessels volume white matter wound