Upward transtentorial herniation due to cerebellar metastasis

Case contributed by Dr Chris O'Donnell

Presentation

PH breast Ca, now headache and reduced conscious state with cerebellar signs

Patient Data

Age: 45
Gender: Female
CT

Post contrast CT brain

Upward herniation of the superior vermis through the tentorial hiatus (arrow) together with edema in the brain stem causing aqueduct obstruction (arrow) and resultant lateral and 3rd ventricular dilatation with periventricular (interstitial) edema due to the rapidity of onset. Note large enhancing mass in the left cerebellar hemisphere (metastasis) responsible for the mass effect.

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Case information

rID: 29843
Published: 26th Jun 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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