Intraparenchymal hemorrhage with subfalcine uncal and transtentorial herniation
Presentation
Follow-up after spontaneous intracranial hemorrhage.
Patient Data
There is partial resolution of the right frontotemporal intraparenchymal hematoma. There is a moderate degree of surrounding vasogenic edema which is exerting local mass effect causing a midline shift, right uncal herniation, and right transtentorial herniation.
Post-decompressive craniotomy
Decompressive craniotomy has resulted in improvement of mass effect and resultant herniations.
Comparison of pre- & ...
Comparison of pre- & post-decompressive craniotomy
Comparison of pre- and post-decompressive craniotomy shows the appearance of subfalcine and uncal hernations relative to their normal anatomy.
Case Discussion
Pay attention to follow-up examinations, which can show worsened vasogenic edema surrounding intraparenchymal hematomas.