Subfalcine herniation in the absence of a high pressure collection or mass: 'brain-slump'?

Abstract

Subfalcine brain herniation is well documented in the presence of raised intracranial pressure. However, we report a case of herniation occurring after decompression of bilateral chronic subdural haematomas, which did not appear to be related to high pressure. We suggest that after rapid decompression of a collection, the unsupported brain can herniate under the falx with serious consequences: 'brain-slump'.

• Complication
• Subdural Haematoma
• Subfalcine Herniation