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Uncal Herniation
Boby Varkey Maramattom, MD, DM;
Eelco F. M. Wijdicks, MD
Arch Neurol. 2005;62:1932-1935.
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INTRODUCTION
It seems likely that one of the first references to brain herniation were by Collier1 and Alquier,2 who described cerebellar tonsillar herniation. In 1904, Collier reported:
In many cases of intracranial tumor of long duration, it was found postmortem that the posterior inferior part of the cerebellum had been pushed down and backwards into the foramen magnum and the medulla itself somewhat caudally displaced, the 2 structures together forming a cone-shaped plug tightly filling up the foramen magnum.1(p492)
A year later, Alquier described 2 cases that he designated "hetrotope du cervelet dans le canal la rachidien,"2(p1117) which translates to heterotopies of the cerebellum in the spine (rachidian canal). In this article, he wrote about 2 cases with brain tumors and commented that the autopsy showed tissue displacement "forced to migrate due to the pressure effect of the tumor."2(p1117)
The remarks . . . [Full Text of this Article]
INITIAL DESCRIPTIONS OF UNCAL HERNIATION
FORMULATION OF A CONCEPT
BACK TO THE LABORATORY
REVISION OF A CLASSIC CONCEPT
AUTHOR INFORMATION
Author Affiliations: Division of Critical Care Neurology, Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minn.
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