Cerebral herniation

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Types

  • Subfalcine herniation
  • Transtentorial herniation
    • Central herniation
      • Decreased level of consciousness
    • Uncal herniation
      • CN III palsy
      • Pupillary mydriasis
      • False localizing sign: ipsilateral hemiparesis?
    • Upward
  • Transcalvarial
    • Brain is pushed out of a bony defect in the skull, usually during surgery
  • Tonsillar
    • Fatal, with compression of the medulla leaving to cardiorespiratory compromise
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