Full 2L QBank
Physiology General 0a1cf974

In transtentorial herniation, a pa of the brain is displaced from the supratentorial to the infratentorial compament through the tentorial opening. It results in all of the following, EXCEPT:

A
Cheyne stokes respiration
B
Decerebration
C
Ipsilateral hemiparesis
D
Ipsilateral oculomotor paresis
High-Yield Explanation
The uncus (on the medial aspect of the temporal lobe) herniates under the tentorium cerebelli. The uncus can compress the oculomotor nerve (CN III), compromising the parasympathetic fibers and resulting in ipsilateral pupillary dilation with associated ophthalmoplegia ("down and out"). Cheyne-Stokes respirations are commonly seen with mesial temporal transtentorial herniation. If the uncus is forced fuher medially, it compresses the cerebral peduncle, producing contralateral hemiparesis. After the brain herniates, the patients are decerebrate and comatose, have fixed and dilated pupils, and eye movements are absent. Ref: Cowan J.A., Thompson B. (2010). Chapter 36. Neurosurgery. In G.M. Dohey (Ed), CURRENT Diagnosis & Treatment: Surgery, 13e.

Related Physiology MCQs

Practice 2,00,000+ NEET PG Questions Free

Timed mock tests, mistake queue analytics, audio lectures & zero attempt limits on i❤️Exams.

Start Free Mock Test Now