Brain herniation syndromes

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Types

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Type of brain herniation
  1. Uncal
    • blown pupil
    • hemiparesis/babinski (75% contralateral)
  2. Central Transtentorial
    • pinpoint → nonresponsive midpoint pupils
    • motor weakness → increased tone → flexor, then extensor posturing
  3. Cerebellotonsilar
    • pinpoint pupils
    • sudden respiratory and cardiovascular collapse
    • flaccid quadriplegia
  4. Upward Transtentorial
    • pinpoint pupils
    • downward conjugate gaze

See Also

References