Brainstem ischemia in acute herniation syndrome.
Brain herniation from hemispheric mass lesions injures mainly the upper brainstem around the tentorial incisura. While mechanical tissue compression is usually the process of deterioration and injury, the primary injury mechanism in some patients is early brainstem ischemia from arterial compromise as demonstrated by this patient's magnetic resonance imaging (MRI) and pathology.
Hussain
Syed I
SI
Neurocritical Care and Acute Stroke Section, Department of Neurology and Surgery (Neurosurgery), The University of Chicago Medical Center, Chicago, Illinois 60637, USA.
Cordero-Tumangday
Charity
C
Goldenberg
Fernando D
FD
Wollman
Robert
R
Frank
Jeffrey I
JI
Rosengart
Axel J
AJ
D000328:Adult; D002545:Brain Ischemia / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D001933:Brain Stem / Q000473:pathology* / Q000601:surgery; D005260:Female; D020199:Hematoma, Subdural, Acute / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009493:Neurosurgery / Q000379:methods