Symptoms of cerebral hernia?

summary

Brain hernia disease has a more serious harm, once suffering from brain hernia such disease, we should early detection, early treatment, effective control of the development of the disease, reduce some trouble, strive to make every brain hernia patients recover as soon as possible. Symptoms of cerebral hernia? Next, I'd like to share my views with you.

Symptoms of cerebral hernia?

When a patient has cerebral hernia, the displaced brain tissue compresses the brain stem at the tentorial notch or foramen magnum. The compression and displacement of the brain stem can cause the blood vessels in the parenchyma to be pulled. In severe cases, the central branch of the basilar artery into the brain stem can be pulled off, resulting in hemorrhage in the brain stem. The hemorrhage is often patchy, and sometimes the hemorrhage can reach the level of the internal capsule along the direction of nerve fibers.

Because the ipsilateral cerebral foot is compressed, the contralateral hemiplegia is caused. The ipsilateral oculomotor nerve is compressed, which can produce oculomotor nerve paralysis. The displaced uncinate gyrus and hippocampal gyrus can squeeze the posterior cerebral artery on the edge of tentorial notch, resulting in occipital cortex ischemic necrosis. The tentorial notch hiatus and foramen magnum were blocked by the displaced brain tissue, thus blocking the cerebrospinal fluid circulation pathway, further aggravating the increase of intracranial pressure, forming a vicious circle, and rapidly worsening the disease.

Pupil changes: the pupil on both sides is not equal in size. At the beginning, the pupil on the affected side is slightly narrowed and the light reaction is slightly slow. Later, the pupil on the affected side is gradually dilated and slightly irregular. The direct and indirect light reaction disappears, but the opposite pupil is still normal. This is due to the compression and traction of the oculomotor nerve on the affected side.

matters needing attention

Most of the patients have weak constitution and poor nutritional status, so diet nursing is extremely important. Therefore, we must give them liquid diet or semi liquid diet which is rich in protein and vitamins and easy to digest; If necessary, intravenous infusion of high nutrient solution can improve the nutritional status of patients and enhance the body's resistance to disease.