Recent advance in paradoxical herniation
10.3760/cma.j.cn115354-20210911-00595
- VernacularTitle:反常性脑疝的研究进展
- Author:
Jiawei HE
1
;
Qi YANG
;
Liang ZHANG
;
Zhanxiang WANG
Author Information
1. 厦门大学医学院神经科学系，厦门 361102
- Keywords:
Paradoxical herniation;
Decompressive craniectomy;
Cranioplasty
- From:
Chinese Journal of Neuromedicine
2022;21(3):291-293
- CountryChina
- Language:Chinese
-
Abstract:
Paradoxical herniation (PH) is a rare complication after decompressive craniectomy, which manifests as that intracranial contents collapse due to atmospheric pressure higher than intracranial pressure and gravity after decompression, and the brain parenchyma eventually herniates through the tentorial notch or the foramen magnum. Contrary to the traditional treatment of cerebral hernia, the intracranial pressure in PH patients should be increased by early cranioplasty or other measures. This article reviews the clinical manifestations, mechanism, diagnoses and treatments of PH, and provides further reference for clinical work.
