transtentorial herniation


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Related to transtentorial herniation: epidural hematoma, Kernohan notch, Tonsillar herniation, tentorial notch, Subfalcine 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.

trans·ten·to·ri·al her·ni·a·tion

herniation into the incisura, either from above (rostral transtentorial herniation) or below (caudal transtentorial herniation).

transtentorial herniation

[trans′tentôr′ē·əl]
Etymology: L, trans + tentorium, tent, hernia, rupture
a bulge of brain tissue out of the cranium through the tentorial notch, caused by increased intracranial pressure. See also tentorial herniation.

transtentorial herniation

Cerebellar herniation Neurology Brain herniation that occurs when part of the cerebellum is displaced through the foramen magnum, compressing the brainstem, causing death by destroying the respiratory center. Cf Uncal herniation.

herniation

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 and individual anatomical sites for hernia.

nucleus pulposus herniation
rupture or prolapse of the nucleus pulposus into the spinal canal, or against the spinal cord. See also intervertebral disk disease.
transtentorial herniation
downward displacement (caudal transtentorial herniation; uncal herniation) of the medial brain structures through the tentorial notch by a supratentorial mass, exerting pressure on the underlying structures, including the brainstem.
uncal herniation
transtentorial herniation.
References in periodicals archive ?
Once the ICP was controlled, he was taken for a repeat head CT that demonstrated marked improvement of the descending transtentorial herniation.
Ascending transtentorial herniation, significant mass effect, distortion of the brainstem and fourth ventricle, moderate supratentorial ventricular dilatation, and associated sulcal/meningeal enhancement occurred.
The head CT scan showed a large, acute subdural hematoma surrounding the right cerebral hemisphere with marked mass effect, 15 mm leftward shift and evidence of transtentorial herniation (see Fig 2).