脑疝分类与影像学表现的图解.ppt

Durette hemorrhage Kernohan’s notch颞叶疝压迹 Uncal herniation When mass effects within or adjacent to the temporal lobe occur, the medial portion of the temporal lobe (uncus) is forced medially and downward over the tentorium. There is ipsilateral pupillary dilation. The uncus is pushed medially into the suprasellar cistern. There is bilateral uncal herniation. The suprasellar cistern is obliterated. early uncal herniation The right uncus is pushing into the suprasellar cistern; early right uncal herniation. 中心疝 临床表现 影像所见 并发症 意识改变 呼吸模式改变 去皮层、去脑 小瞳孔 因脉络膜前动脉受压引起苍白球和视束梗塞 中心疝 Superior vermian herni