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. 2020 Aug 13;8(12):3573-3574.
doi: 10.1002/ccr3.3237. eCollection 2020 Dec.

Upward transtentorial herniation

Nidal B Omar  1 , Winfield S Fisher 3rd  1
Affiliations

Upward transtentorial herniation

Nidal B Omar et al. Clin Case Rep. .

Abstract

While subfalcine, transtentorial, and transmagnal herniation are most often thought of as downward phenomena, brain herniation can also occur in the upward direction with similarly disastrous clinical consequences.

Keywords: brain injury; brainstem; transtentorial herniation; upward herniation.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
A. Initial MRI demonstrating a small subdural blood collection anterior to the medulla oblongata. B. Follow‐up MRI demonstrating a large subdural hematoma caudal to the cerebellum with resultant ascending herniation of neural structures through the tentorial incisura
See this image and copyright information in PMC

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References

    1. Munakomi S, Das JM. Brain Herniation In: StatPearls. Treasure Island, FL: StatPearls Publishing Copyright© 2020, StatPearls Publishing LLC; 2020. https://www.ncbi.nlm.nih.gov/books/NBK542246/
    1. Yadav G, Sisodia R, Khuba S, Mishra L. Anesthetic management of a case of transtentorial upward herniation: An uncommon emergency situation. J Anaesthesiol Clin Pharmacol. 2012;28(3):413‐415. - PMC - PubMed

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