Upward transtentorial herniation as a result of mass effect in the posterior fossa has been described in adults by several authors. We report the case of a premature infant, small for gestational age, who experienced rostral herniation of a portion of frontal lobe through the anterior fontanel as the result of a hemorrhagic cerebellar infarction followed by a large parieto-occipital intracerebral hemorrhage. (J Child Neurol 1992;7:392-394).
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References
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Plum F., Posner JB: Supratentorial lesions causing coma, in Plum F, Posner JB (eds): The Diagnosis of Stupor and Coma, 3rd ed. Philadelphia, FADavis, 1982, pp 88-101.
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Bell WE, McCormick WF: Transtentorial and cerebellar herniations, in Bell WE, McCormick WF (eds): Increased Intracranial Pressure in Children. Diagnosis and Treatment , 2nd ed. Philadelphia, WB Saunders, 1978, pp 31-40.
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Plum F., Posner JB: Subtentorial lesions causing coma, in Plum F, Posner JB (eds): The Diagnosis of Stupor and Coma, 3rd ed. Philadelphia, FADavis, 1982, p 156.
