In the setting of a head injury, hypertension, bradycardia, and bio respirations indicate Herniation of the brain stem
When something inside the skull exerts pressure on the brain tissues, it can cause brain herniation. Most frequently, a brain tumor, stroke, or head injury causes bleeding or swelling in the brain. Brain tumors may cause brain herniation as a secondary consequence, including brain tumors with metastasis.
A brain herniation may begin subtly with pupillary asymmetry (herniation), advance to altered levels of consciousness (reticular activating system compression), and proceed to the moribund stage of aberrant posture (diencephalon and brainstem compression), and then result in death.
Brain herniation is diagnosed via magnetic resonance imaging or computed tomography.
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