Ascending transtentorial herniation

Ascending transtentorial herniation is a situation where space-occupying lesions in the posterior cranial fossa cause superior displacement of superior parts of the cerebellum through the tentorial notch. 

Clinical presentation

  • nausea and/or vomiting 
  • rapid progression toward a decreased level of consciousness and, eventually, death

Radiographic features

General imaging features include:

Share article

Article information

rID: 22529
Synonyms or Alternate Spellings:
  • Upward transtentorial herniation
  • Ascending trans-tentorial herniation
  • Upward trans-tentorial herniation

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Case 1
    Drag here to reorder.
  • Drag
    Cerebellar infarc...
    Case 2: due to cerebellar infarct
    Drag here to reorder.
  • Drag
    Case 3
    Drag here to reorder.
  • Drag
    Case 4
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.