To help reverse or prevent a brain herniation, the medical team will treat increased swelling and pressure in the brain. This can be accomplished by:
Corticosteroids such as dexamethasone, especially in cases where a tumor is involved
Mannitol or other diuretics
A drain placed into the brain to drain off fluid, in the case of a mechanical obstruction causing herniation
Removing the blood if a massive hemorrhage is present and causing herniation, although the outlook in these cases is poor
Placing a tube in the airway (endotracheal intubation) and mechanically ventilating (forced breathing) at a rapid rate to reduce the levels of carbon dioxide (CO2) in the blood
Expectations (prognosis):
Once herniation in the brain's temporal lobe or the cerebellum occurs, death is often inevitable. Herniation of other areas of the brain areas has a more variable outlook.
Complications:
Permanent and significant neurologic problems
Brain death
Calling your health care provider:
If decreased alertness or other symptoms develop suddenly, particularly if there is a known head injury or brain lesion, go to the emergency room or call 911. A neurologist or neurosurgeon will ultimately be involved in the patient's care.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
.gif)
