Clinical features
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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