Silent Pressure: A Missed Sign in Head Trauma
Update: 2025-04-11
Description
A 10-year-old boy is hit in the head with a baseball. He’s alert and neurologically intact at first. But while waiting for surgery, he becomes drowsy and develops left leg weakness. Pupils are still reactive. What’s the subtle danger here?
In this Master Series episode, we break down a case of evolving intracranial pressure that teaches you how to recognize early brain herniation — before the pupils give it away.
You’ll learn how to:
Recognize subfalcine herniation and anterior cerebral artery compression
Differentiate herniation syndromes based on symptoms
Catch early warning signs of brain shift before they become fatal
Apply high-yield trauma neurology for Step 2 CK and real-life care
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