Uncal herniation in a fully conscious patient—The sliding uncus syndrome

Abstract

Uncal herniation is accompanied by a decreased level of consciousness. We describe a patient who remained fully alert despite the uncal herniation. The computed tomography (CT) scans allowed us to visualize the uncus and its spatial relation to the cerebral peduncle. We describe the sliding uncus syndrome.

Keywords::

• sliding uncus syndrome
• subdural hematoma
• uncal herniation
• dilated pupil
• consciousness

Acknowledgements

The authors thank Avra S. Laarakker for her contribution to the final work.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.