This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
Which type of shift in intracranial content is common in children with progressive hydrocephalus – 
Select and explain. 
A. Transforaminal herniation, B. Upward cerebellar herniation, C. Unilateral transtentorial herniation, D. Central transtentorial herniation
D: Central transtentorial herniation
Answer: D: Central transtentorial herniation 
Explanation: 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.