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Herniation can be caused by a number of factors that cause a mass effect and increase intracranial pressure (ICP): these include traumatic brain injury, intracranial hemorrhage, or brain tumor. [1] Herniation can also occur in the absence of high ICP when mass lesions such as hematomas occur at the borders of brain compartments. In such cases ...
brain stem herniation: quick shallow respirations followed by period of apnea Bitot's spots: Pierre Bitôt: ophthalmology: vitamin A deficiency: spots of keratin deposition in the conjunctiva Bjerrum scotoma: Jannik Peterson Bjerrum: ophthalmology: glaucoma: comet shaped visual field defect, extending temporally from the physiological blind ...
An increase in pressure, most commonly due to head injury leading to intracranial hematoma or cerebral edema, can crush brain tissue, shift brain structures, contribute to hydrocephalus, cause brain herniation, and restrict blood supply to the brain. [13] It is a cause of reflex bradycardia. [14]
Cushing reflex (also referred to as the vasopressor response, the Cushing effect, the Cushing reaction, the Cushing phenomenon, the Cushing response, or Cushing's Law) is a physiological nervous system response to increased intracranial pressure (ICP) that results in Cushing's triad of increased blood pressure, irregular breathing, and bradycardia. [1]
The increased pressure causes a rupture of the cranial dura mater, leading to a CSF leak and intracranial hypotension. [46] [47] Patients with a nude nerve root, where the root sleeve is absent, are at increased risk for developing recurrent CSF leaks. [48] Lumbar disc herniation has been reported to cause CSF leaks in at least one case. [49]
Subdural hematoma maybe less acute than epidural hematoma due to slower blood accumulation, but it still has the potential to cause brain herniation that may require surgical evacuation. [3] Clinical features depend on the site of injury and severity of injury.
Brain herniation is associated with hyperventilation, extensor rigidity, pupillary asymmetry, pyramidal signs, coma and death. [10] Hemorrhage into the basal ganglia or thalamus causes contralateral hemiplegia due to damage to the internal capsule. [7] Other possible symptoms include gaze palsies or hemisensory loss. [7]
For intraparenchymal hemorrhage associated with hypertension, small holes in arteries are thought to cause bleeding in the deep penetrating arteries of the brain, which are smaller and thinner than other arteries. These are the arteries that supply blood to the basal ganglia, the thalamus, the brainstem, and deep portions of the cerebellum ...