Temporal bone fractures are not serious in themselves, but such fractures have the potential to lead to very serious complications. During a patient’s episode of temporal bone fracture, a rupture of the middle cerebral artery on the medial aspect of the temporal bone may occur due to the same mechanism of injury. In this case, the patient will rapidly develop massive intracranial hemorrhage, which can be life-threatening. In the medial aspect of the temporal bone, not only is the middle cerebral artery present, but it is at the site of penetration into the brain parenchyma. The corner of the artery is very sharp, which makes it easy for the blood vessels to rupture and bleed profusely in the event of a temporal bone fracture. The temporal bone fracture itself can be treated very simply, such as conservative treatment for mild injuries or debridement for severe injuries. Intracranial hemorrhage in this area needs to be treated very carefully, for example, if a large amount of bleeding occurs, emergency craniotomy should be performed to stop the bleeding of the relevant blood vessels.