The dates range between 15,700 [+ o -] 190 and 15,370 [+ o -] 80 uncal
bp, but are not arranged in perfect stratigraphic order, suggesting that the level was formed quite quickly, despite its 30-40 cm thickness.
Contrast-enhanced cranial CT scan revealed acute parenchymal hemorrhage on the right occipital lobe amounting to 18.4 cc, with extension to the right parietal lobe, surrounding cerebral edema, subfalcine herniation, and beginning uncal
herniation (Figure 1).
There was a significant mass effect with midline shift and uncal
herniation puts pressure on the brainstem and usually results in long-term ACHS.
A subdural hematoma (SDH) of the left frontotemporoparietal space with uncal
herniation was seen on computed tomography.
Even a gradual increase in ipsilateral pupillary size, or the increase of pupil constriction latency (from brisk to sluggish reactivity), may signify the first indication of life-threatening transtentorial (uncal
All fatal cases were complicated by neurologic manifestations, including seizures, obtundation, and uncal
herniation," a finding that is consistent with the literature, the authors said.
Unlike the GCS, FOUR score can identify locked in syndrome, uncal
herniation, and the beginning of the vegetative state, where the verbal component of the GCS, cannot be used in intubated patients.
Multiple logistic regression analysis showed that age [greater than or equal to] 55 [5.78:2.14-15.64, P = 0.001], MCA with additional infarction [6.8: 2.88-16.48, P < 0.001], septum pellucidum deviation [greater than or equal to] 1cm [2.52: 1.02-6.20, P = 0.045], and uncal
herniation (3.95: 1.48-10.49, P = 0.006) were independently associated with an unfavorable outcome at three months.
(2) Type B (normal discontinuous): in a discontinuous BVR, the anterior part drains into the sphenoparietal sinus or cavernous sinus through an uncal
vein and posterior part drains to the vein of Galen.
Head CT (Figure 1) showed 1.5 cm right panhemispheric hyperdensity in the subdural space with significant midline shift, falcine herniation, uncal
herniation, and loss of basilar cisterns.