Ebeling U, Huber P
Schweiz Med Wochenschr. 1986 Oct 11;116(41):1394-401.
Ascending transtentorial herniation and compression of the brain stem are very severe sequelae of acute space-occupying lesions of the posterior fossa such as hematoma, infarction and tumours. The symptoms, course and outcome of these acute space - occupying lesions are discussed on the basis of 50 patients. For correct diagnosis of transtentorial herniation, CT studies are essential. The signs can be divided into early and alarming, and the time course into a biphasic and foudroyant form. Early detection of transtentorial herniation or impending incarceration is of crucial importance for successful therapy.
幕上疝及脑干受压是后颅窝急性占位性病变（如血肿、梗死和肿瘤）非常严重的后遗症。基于50例患者讨论了这些急性占位性病变的症状、病程及转归。对于幕上疝的正确诊断，CT检查至关重要。体征可分为早期和警示性的，病程可分为双相和暴发性形式。早期发现幕上疝或即将发生的嵌顿对于成功治疗至关重要。
