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tentorial herniation

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herniation /her·ni·a·tion/ (her″ne-a´shun) abnormal protrusion of an organ or other body structure through a defect or natural opening in a covering, membrane, muscle, or bone.
herniation of intervertebral disk  herniated disk; protrusion of the nucleus pulposus or anulus fibrosus of the disk, which may impinge on nerve roots.
herniation of nucleus pulposus  see h. of intervertebral disk.
tentorial herniation  downward displacement of the most medially placed cerebral structures through the tentorial notch, caused by a supratentorial mass.

tentorial herniation
[tentôr′ē·əl]
Etymology: L, tentorium, tent, hernia, rupture
the protrusion of brain tissue into the tentorial notch, caused by increased intracranial pressure resulting from edema, hemorrhage, or a tumor. Characteristic signs are severe headache, fever, flushing, sweating, abnormal pupillary reflex, drowsiness, hypotension, and loss of consciousness. Also called transtentorial herniation.

herniation [her″ne-a´shun]
abnormal protrusion of an organ or other body structure through a defect or natural opening in a covering membrane, muscle, or bone. (See also hernia.)
Herniation syndromes. From Ignatavicius and Workman, 2002.
caudal transtentorial herniation transtentorial herniation.
central herniation a downward shift of the brainstem and the diencephalon due to a supratentorial lesion, causing Cheyne-Stokes respirations with pinpoint nonreactive pupils.
cingulate herniation a shift of the cingulate gyrus to below the falx cerebri.
disk herniation (herniation of intervertebral disk) (herniation of nucleus pulposus) herniated disk.
tentorial herniation transtentorial herniation.
tonsillar herniation protrusion of the cerebellar tonsils through the foramen magnum.
transtentorial herniation downward displacement of medial brain structures through the tentorial notch by a supratentorial mass, exerting pressure on the underlying structures, including the brainstem; this is a life-threatening situation because of pressure on the third cranial nerve, with symptoms including dilated, nonreactive pupils, ptosis, and a decreased level of consciousness. Called also caudal transtentorial herniation, tentorial herniation, and uncal herniation.
uncal herniation transtentorial herniation.


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