Brain herniation syndromes

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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)