Isolate one radical and square.
2x−1=4−x−4⟹2x−1=16−8x−4+(x−4)
Simplify to x−13=−8x−4, that is 13−x=8x−4. Square again.
169−26x+x2=64x−256⟹x2−90x+425=0⟹(x−5)(x−85)=0
Check x=5: 9+1=3+1=4, which is correct.
Check x=85: 169+81=13+9=22=4, so it is extraneous. It entered when we squared 13−x=8x−4, a step that ignores the fact that the left side must be non-negative. Only x=5 solves the equation.