CT perfusion illustrated reversal of uncal herniation after placement of an external ventricular drain

Ulus Baran, MD; Levent Tanrikulu, MD; Omid Nikoubashman, MD; Hans Clusmann, MD; Gerrit Alexander Schubert, MD

doi:10.1016/j.inat.2015.09.001

Interdisciplinary Neurosurgery (Dec 2015)

CT perfusion illustrated reversal of uncal herniation after placement of an external ventricular drain

Ulus Baran, MD,
Levent Tanrikulu, MD,
Omid Nikoubashman, MD,
Hans Clusmann, MD,
Gerrit Alexander Schubert, MD

Affiliations

Ulus Baran, MD: Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
Levent Tanrikulu, MD: Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
Omid Nikoubashman, MD: Department of Neuroradiology, RWTH Aachen University, Aachen, Germany
Hans Clusmann, MD: Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
Gerrit Alexander Schubert, MD: Department of Neurosurgery, RWTH Aachen University, Aachen, Germany

DOI: https://doi.org/10.1016/j.inat.2015.09.001
Journal volume & issue: Vol. 2, no. 4
pp. 181 – 182

Abstract

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Compression of the PCA in the context of uncal herniation is usually deducted in retrospect only with presence of a demarcated infarction in the respective territory. In this particular case with early recovery of oculomotor nerve function after CSF drainage, additional CT perfusion was able to directly document both significant compromise of the PCA as well as effective reversal of uncal herniation with restitution of perfusion within the PCA territory.

Published in Interdisciplinary Neurosurgery

ISSN: 2214-7519 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system
Website: http://www.journals.elsevier.com/interdisciplinary-neurosurgery/

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