Transtentorial Herniation: T1-weighted with gadolinium axial MRIs. Note the midline shift and uncal herniation, as the uncus (medial temporal lobe) is displaced against the midbrain. In addition, note ...

It would be important to monitor for signs of increased intracranial pressure because HSE can cause brain edema leading to uncal herniation. Lorazepam (E) would be indicated to treat seizure activity.

Axial brain CT scan with massive intraparenchymal hemorrhage with intraventricular extension and extensive mass effect with left to right subfalcine. herniation, and left uncal herniation.

Lumbar puncture is contraindicated if there is high intracranial pressure, as a lumbar puncture can precipitate uncal herniation. 19 ...

Brain examination showed a large right intracerebral and intraventricular hemorrhage with falcine and uncal herniation. The cerebral vasculature stained negative for congo red.