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Treatment

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The treatment of cerebral herniation involves:

  • 20% mannitol IV - 1g/Kg (5ml/Kg) over 15 mins - effects last 4-6 hours - used only as a temporary treatment when intracranial pressure is very high and time is needed to arrange surgical management

  • corticosteroid, e.g. dexamethasone IV 12 mg bolus followed by 4mg every 6 hours - if vasogenic cause of oedema

  • intubate and hyperventilate

  • CT scan for neurosurgically remediable lesions

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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