Which type of shift in intracranial content is common in children with progressive hydrocephalus –: (A) Transforaminal herniation, (B) Upward cerebellar herniation, (C) Unilateral transtentorial herniation, (D) Central transtentorial herniation
Answer is D. Central transtentorial (uncinate, mesial temporal) herniation occurs when the medial aspect of the temporal lobe is compressed against the free margin of tentorium cerebelli.
It can results in increased ICT and hydrocephalus.