A construction worker was accidentally shot with a nail gun. The nail penetrated the skull approximately ½ inch through the temporal region. Before your arrival, coworkers pulled the nail free. Based on the mechanism of injury, which sign provides the strongest evidence that the meningeal layers have been breached?

Cerebrospinal fluid oozing from the puncture wound

Explanation:

This is a result of leaking hole in the dura, outermost layer of the meninges. Some of the symptoms shown includes Nausea and vomiting, neck pain or stiffness, change in hearing (muffled, ringing in the ears), sense of imbalance and photophobia that is sensitivity to light. The treatment for cases like this will be administered based on the seriousness and the cause of the CSF. The treatments can be conservative or invasive .