For brain metastasis with increased intracranial pressure, decompression surgery is useful to prevent brainherniation.
2
The cases represent neurologic catastrophes encountered in the intensive care unit consisting of symptomatic hyponatremia, severe alcohol withdrawal syndrome, and brainherniation syndrome.
3
Death equivalent was defined as unresponsive grade 4 hepatic encephalopathy or ICP greater than 20 mmHg with clinical evidence of brainherniation.