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Title: Elevated Intracranial Pressure and Herniation

Category: Neurology

Keywords: ICP, intracranial pressure, stroke, herniation (PubMed Search)

Posted: 12/23/2009 by Aisha Liferidge, MD (Updated: 7/21/2026)

  • Elevated intracranial pressure (ICP) can sometimes be associated with focal symptoms related to mass lesions or herniation syndromes.
  • Herniation is the result of pressure gradients between two regions of the cranial vault, such as that related to cerebral edema from an acute stroke.
  • The following list describes areas most commonly affected by herniation syndromes: 

          --- subfalcine

          --- central transtentorial

          --- uncal transtentorial

          --- upward cerebellar

          --- cerebellar tonsillar/foramen magnum

          --- transcalvarial


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