Brain herniation syndromes
Types
1. Uncal
-blown pupil
-hemiparesis/babinski (75% contralat)
2. Central Transtentorial
-B pinpoint --> nonresponsive midpoint
-B motor weakness/inc tone
3. Cerebellotonsilar
-B pinpoint
-sudden cario/resp colapse
-flacid quadraplegia
4. Upward Transtentorial
-B pinpoint
-downward conjugate gaze
Source
5/15/06 DONALDSON (adapted from Rosen)
