Table 1

Symptoms and signs of cerebral herniation

Glasgow coma score <8
Abnormal pupil size and reaction(unilateral or bilateral)
Absent doll’s eye movements
Abnormal tone(decerebrate/decorticate posturing, flaccidity)
Tonic posturing
Respiratory abnormalities(hyperventilation, Cheyne–Stokes breathing, apnoea, respiratory arrest)
Papilloedema(rare, especially in infants)