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Clinical features

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Depression of consciousness is common with cerebral herniation and results from pressure against the midbrain reticular formation.

The two sites where the brain is commonly damaged by herniation are:

  • the diencephalon and medial temporal lobe as brain herniates through the tentorium cerebelli
  • the cerebellar tonsils and medulla as they herniate through the foramen magnum

There may be an ordered sequence of physical signs as cerebral herniation progresses.

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