Paradoxical herniation after decompressive craniectomy provoked by mannitol: A case report

Chuan Du1, Hua-Juan Tang2, Shuang-Ming Fan3

  • 1Neurosurgery, the Affiliated Hospital of Chengdu University, Chengdu 610000, Sichuan Province, China.

Summary

Paradoxical transtentorial herniation can occur after high-dose mannitol infusion in patients with large decompressive craniectomy. Placing the patient in a supine position may be life-saving and should be attempted if symptoms arise.