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trauma
Uncal herniation with Kernohan phenomenon
Discussion:
This case teaches several important traumatic concepts;
contrecoup
subdural hematoma
- i.e. on opposite side to head strike
uncal herniation
- look for the temporal horn of the lateral ventricle
Kernohan phenomenon
- contralateral midbrain compression due to uncal herniation
increase in intraparenchymal hematoma size following decompressive craniectomy due to loss of tamponade effect from raised intracranial pressure
association of
longitudinal petrous temporal bone fracture
with
ossicular chain disruption
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Related articles:
Brain herniation
Kernohan phenomenon
Longitudinal temporal bone fractures
Ossicular chain disruption
Subdural hemorrhage
Uncal herniation
Case
Full screen case
Case with hidden diagnosis
Full screen case with hidden diagnosis
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CT: CT Brain
CT: Petrous temporal bones
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