Herniation of brain from one compartment (normally separated by calvarial &/or dural boundaries) to another
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Park HY et al: Sinking skin flap syndrome or syndrome of the trephined: a report of two cases. Ann Rehabil Med. 43(1):111-4, 2019
Saran S et al: Neglected type III growing skull fracture in a 65-year-old female. Ann Afr Med. 17(1):46-7, 2018
Ji H et al: Paradoxical herniation after unilateral decompressive craniectomy: a retrospective analysis of clinical characteristics and effectiveness of therapeutic measures. Turk Neurosurg. 27(2):192-200, 2017
Wu H et al: The diagnosis and surgical treatment of central brain herniations caused by traumatic bifrontal contusions. J Craniofac Surg. 25(6):2105-8, 2014
Arbour RB: Early metabolic/cellular-level resuscitation following terminal brain stem herniation: implications for organ transplantation. AACN Adv Crit Care. 24(1):59-78, 2013
Bor-Seng-Shu E et al: Posttraumatic refractory intracranial hypertension and brain herniation syndrome: cerebral hemodynamic assessment before decompressive craniectomy. Biomed Res Int. 2013:750809, 2013
Young GB: Impaired consciousness and herniation syndromes. Neurol Clin. 29(4):765-72, 2011
Kalita J et al: Brain herniations in patients with intracerebral hemorrhage. Acta Neurol Scand. 119(4):254-60, 2009
Hussain SI et al: Brainstem ischemia in acute herniation syndrome. J Neurol Sci. 268(1-2):190-2, 2008
Marupaka SK et al: Atypical Duret haemorrhages seen on computed tomography. Emerg Med Australas. 20(2):180-2, 2008
Timms C et al: Brainstem distortion from postoperative cerebellar herniation through a dural and bony defect. J Clin Neurosci. 15(9):1050-1, 2008
Yoo WK et al: Kernohan's notch phenomenon demonstrated by diffusion tensor imaging and transcranial magnetic stimulation. J Neurol Neurosurg Psychiatry. 79(11):1295-7, 2008
Laine FJ et al: Acquired intracranial herniations: MR imaging findings. AJR Am J Roentgenol. 165:967-73, 1995
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Subfalcine herniation (SFH)
Descending transtentorial herniation (DTH)
Definitions
Herniation of brain from one compartment (normally separated by calvarial &/or dural boundaries) to another
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Park HY et al: Sinking skin flap syndrome or syndrome of the trephined: a report of two cases. Ann Rehabil Med. 43(1):111-4, 2019
Saran S et al: Neglected type III growing skull fracture in a 65-year-old female. Ann Afr Med. 17(1):46-7, 2018
Ji H et al: Paradoxical herniation after unilateral decompressive craniectomy: a retrospective analysis of clinical characteristics and effectiveness of therapeutic measures. Turk Neurosurg. 27(2):192-200, 2017
Wu H et al: The diagnosis and surgical treatment of central brain herniations caused by traumatic bifrontal contusions. J Craniofac Surg. 25(6):2105-8, 2014
Arbour RB: Early metabolic/cellular-level resuscitation following terminal brain stem herniation: implications for organ transplantation. AACN Adv Crit Care. 24(1):59-78, 2013
Bor-Seng-Shu E et al: Posttraumatic refractory intracranial hypertension and brain herniation syndrome: cerebral hemodynamic assessment before decompressive craniectomy. Biomed Res Int. 2013:750809, 2013
Young GB: Impaired consciousness and herniation syndromes. Neurol Clin. 29(4):765-72, 2011
Kalita J et al: Brain herniations in patients with intracerebral hemorrhage. Acta Neurol Scand. 119(4):254-60, 2009
Hussain SI et al: Brainstem ischemia in acute herniation syndrome. J Neurol Sci. 268(1-2):190-2, 2008
Marupaka SK et al: Atypical Duret haemorrhages seen on computed tomography. Emerg Med Australas. 20(2):180-2, 2008
Timms C et al: Brainstem distortion from postoperative cerebellar herniation through a dural and bony defect. J Clin Neurosci. 15(9):1050-1, 2008
Yoo WK et al: Kernohan's notch phenomenon demonstrated by diffusion tensor imaging and transcranial magnetic stimulation. J Neurol Neurosurg Psychiatry. 79(11):1295-7, 2008
Laine FJ et al: Acquired intracranial herniations: MR imaging findings. AJR Am J Roentgenol. 165:967-73, 1995
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