What type of herniation is demonstrated on the head CT and what are the anticipated neurologic findings on examination?
A. Fungating herniation—contralateral > ipsilateral weakness Wrong Choice!
B. Subfalcine herniation—contralateral > ipsilateral leg weakness Correct Choice
C. Transtentorial (uncal) herniation—contralateral weakness and anisocoria Wrong Choice!
D. Tonsillar herniation—marked depressed level of consciousness and bulbar dysfunction Wrong Choice!
Answer:B
What type of herniation is demonstrated on the head CT and what are the anticipated neurologic findings on examination?
A. Fungating herniation—contralateral > ipsilateral weakness Wrong Choice! B. Subfalcine herniation—contralateral > ipsilateral leg weakness Correct Choice C. Transtentorial (uncal) herniation—contralateral weakness and anisocoria Wrong Choice! D. Tonsillar herniation—marked depressed level of consciousness and bulbar dysfunction Wrong Choice!