A 14-year-old boy was hit on the side of the head with a baseball bat during practice

A 14-year-old boy was hit on the side of the head with a baseball bat during practice. Boy was conscious in the beginning. A laceration with a palpable bone fragment was found in the wound. After 5 hours the boy became unconscious and later died. Most likely the cause of death is :

A)Subarachnoid hemorrhage

B)Extradural hemorrhage

C)Subdural hemorrhage

D)Intracerebral hemorrhage

B. Extradural/Epidural Hemorrhage. The History is characteristic. LUCID INTERVAL is seen in case of Epidural Hemorrahge only. In case of Epidural hemorrhage, The Person first becomes unconscious and then again become Conscious and this period is known as LUCID INTERVAL.

Lucid Interval is seen in case of Insanity and Epidural hemorrahge. And this point is Important both Medico-legally point of view and treatment. If treated at this particular point, The person can be saved and prevented from going into further complications.

but its nowhere said that the person becomes unconscious at the beginning

exactly my doubt

Thats Okay. Depends upon the Impact force. In most of cases, Due to sudden impact, The person becomes Unconscious and gains consciousness after some time and so sometimes the diagnosis gets missed. And if delayed, The person may go into unconsciousness and die.

Perhaps what would have happened here is either the impact wasn’t too much or that the question started from the Conscious point of view and missed to point the Unconsciousness at the beginning!!!

EDH - young boy, high velocity impact, lucid interval - all pointing towards EDH

sir but its nowhere said that the person becomes unconscious at the beginning nd then became conscious & unconscious again … So is it still considered Lucid interval?