Early unilateral uncal herniation is more accurately called uncal herniation. Thus, uncal herniation is described separately above. Cushing's triad includes alteration in respiration, bradycardia, and systemic hypertension. It is rare to have all three present in children. Often there is just bradycardia alone.
Children tolerate brainstem compression produced by herniation better than adults.
Immediate early intervention can result in recovery. Intervention at the stage of unilateral pupillary dysfunction is likely to have a better prognosis than intervention at the stage of bilateral pupillary dysfunction, decerebrate posturing and bradycardia. CT scan shows obliteration of the suprasellar and quadrigeminal cisterns. Later findings include infarcts and brainstem hemorrhage. View transtentorial herniation.