Introduction: Epidermal inclusion cyst is a relatively common condition usually associated with trauma, with characteristic presentation, and seen in the extremities. However, it is an uncommon entity in the head and neck region.

Although not a true sign, the finding of the elongated appearance of the midbrain in traumatic brain injury still holds significance as a predictor of mortality. Hence, this finding should alert neurosurgeons or intensivists to expedite the administration of suitable interventions in a salvageable patient.