Subfalcine herniation in the absence of a high pressure collection or mass: 'brain-slump'?
Subfalcine brain herniation is well documented in the presence of raised intracranial pressure. However, we report a case of herniation occurring after decompression of bilateral chronic subdural haematomas, which did not appear to be related to high pressure. We suggest that after rapid decompression of a collection, the unsupported brain can herniate under the falx with serious consequences: 'brain-slump'.
Shah
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Department of Neurosurgery, Atkinson Morley's Wing, St George's NHS Trust, London, UK.
Choi
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D001921:Brain / Q000000981:diagnostic imaging*; D001927:Brain Diseases / Q000000981:diagnostic imaging; D019299:Decompression, Surgical; D020200:Hematoma, Subdural, Chronic / Q000000981:diagnostic imaging* / Q000601:surgery; D006547:Hernia / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed