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Brain herniation can cause severe disability or death. In fact, when herniation is visible on a CT scan, the prognosis for a meaningful recovery of neurological function is poor. [2] The patient may become paralyzed on the same side as the lesion causing the pressure, or damage to parts of the brain caused by herniation may cause paralysis on ...
Brain death is used as an indicator of legal death in many jurisdictions, [7] but it is defined inconsistently and often confused by the public. [8] Various parts of the brain may keep functioning when others do not anymore, and the term "brain death" has been used to refer to various combinations.
In herniation syndrome, which is indicative of brain herniation, decorticate posturing occurs, and, if the condition is left untreated, develops into decerebrate posturing. [12] Posturing has also been displayed by patients with Creutzfeldt–Jakob disease, [13] diffuse cerebral hypoxia, [14] and brain abscesses. [2]
Brain herniation is associated with poor prognoses. [ 7 ] For spontaneous intracerebral hemorrhage seen on CT scan, the death rate ( mortality ) is 34–50% by 30 days after the injury, [ 22 ] and half of the deaths occur in the first 2 days. [ 51 ]
Types of brain herniation [21] 1) Uncal 2) Central - The brainstem herniates caudally. 3) Cingulate herniation - The brain squeezes under the falx cerebri . 4) Transcalvarial herniation - through a skull fracture 5) Upward herniation of the cerebellum 6) Tonsillar herniation - the cerebellar tonsils herniate through the foramen magnum.
Brain injuries are very hard to predict in the outcome. Many tests and specialists are needed to determine the likelihood of the prognosis. People with minor brain damage can have debilitating side effects; not just severe brain damage has debilitating effects. The side-effects of a brain injury depend on location and the body's response to injury.
Traumatic brain injury is defined as damage to the brain resulting from external mechanical force, such as rapid acceleration or deceleration, impact, blast waves, or penetration by a projectile. [10] Brain function is temporarily or permanently impaired and structural damage may or may not be detectable with current technology. [11]
Patients may have a history of loss of consciousness but they recover and do not relapse. Clinical onset occurs over hours. Complications include focal neurologic deficits depending on the site of hematoma and brain injury, increased intracranial pressure leading to herniation of brain and ischemia due to reduced blood supply and seizures.