title: Brainstem ischemia in acute herniation syndrome.
abstract: 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.
authors.affiliation: Neurocritical Care and Acute Stroke Section, Department of Neurology and Surgery (Neurosurgery), The University of Chicago Medical Center, Chicago, Illinois 60637, USA.
authors.forename: Syed I
authors.initials: SI
authors.lastname: Hussain
authors.forename: Charity
authors.initials: C
authors.lastname: Cordero-Tumangday
authors.forename: Fernando D
authors.initials: FD
authors.lastname: Goldenberg
authors.forename: Robert
authors.initials: R
authors.lastname: Wollman
authors.forename: Jeffrey I
authors.initials: JI
authors.lastname: Frank
authors.forename: Axel J
authors.initials: AJ
authors.lastname: Rosengart
mesh_terms: 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