منابع مشابه
Decompressive Hemicraniectomy in Patients With Transtentorial Herniation
✔ Objective: To present the results, technique and indications of decompressive hemicraniectomy in patients with unilateral transtentorial herniation. Methods: Ten consecutive patients with intracranial hypertension refractory to medical management and transtentorial herniation were treated with decompressive hemicraniectomy over a 3-year period with the following diagnoses: malignant infarctio...
متن کاملCT signs of central descending transtentorial herniation.
Fig . 1.A, Shallow oblique view of lumbar spine (about 10° of rotation) on anteroposterior fluoroscopy demonstrates borders of "third pedicle ": inferior margin of superior lamina (short arrow). superior margin of inferior lamina (long arrow) , and cortical margins of spinous process and pedicle (arrowheads). B, Using "third pedicle" as target , spinal needle is passed parallel to central fluor...
متن کاملTranstentorial herniation after unilateral infarction of the anterior cerebral artery.
BACKGROUND Fatal cerebral herniation is a common complication of large ("malignant") middle cerebral artery infarcts but has not been reported in unilateral anterior cerebral artery (ACA) infarction. CASE DESCRIPTION We report a 47-year-old woman who developed an acute left hemiparesis during an attack of migraine. Cranial CT (CCT) was normal but demonstrated narrow external cerebrospinal flu...
متن کاملParadoxical Transtentorial Herniation Caused by Lumbar Puncture after Decompressive Craniectomy
Although decompressive craniectomy is an effective treatment for various situations of increased intracranial pressure, it may be accompanied by several complications. Paradoxical herniation is known as a rare complication of lumbar puncture in patients with decompressive craniectomy. A 38-year-old man underwent decompressive craniectomy for severe brain swelling. He remained neurologically sta...
متن کاملSyndrome of transtentorial herniation: is vertical displacement necessary?
MRI from a comatose patient with a massive acute subdural haematoma showed most of the features of transtentorial herniation described in the classic pathology literature. In addition to encroachment on the perimesencephalic cisterns, infarction in the anterior and posterior cerebral artery territories, ischaemic change in the lower diencephalon, and ventricular enlargement were visualised. Des...
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ژورنال
عنوان ژورنال: Journal of Neuropathology and Experimental Neurology
سال: 1963
ISSN: 0022-3069
DOI: 10.1097/00005072-196304000-00011