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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

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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