{"id":"https://openalex.org/W2046029596","doi":"https://doi.org/10.1097/00006123-199108000-00010","title":"Functional Recovery after Traumatic Transtentorial Herniation","display_name":"Functional Recovery after Traumatic Transtentorial Herniation","publication_year":1991,"publication_date":"1991-08-01","ids":{"openalex":"https://openalex.org/W2046029596","doi":"https://doi.org/10.1097/00006123-199108000-00010","mag":"2046029596","pmid":"https://pubmed.ncbi.nlm.nih.gov/1886660"},"language":"en","primary_location":{"id":"doi:10.1097/00006123-199108000-00010","doi":"https://doi.org/10.1097/00006123-199108000-00010","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00006123-199108000-00010","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076261158","display_name":"Brian T. Andrews","orcid":"https://orcid.org/0000-0003-3994-6808","observed_orcids":["https://orcid.org/0000-0003-3994-6808"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"B T Andrews","raw_affiliation_strings":["Department of Neurological Surgery, School of Medicine, University of California, San Francisco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurological Surgery, School of Medicine, University of California, San Francisco","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111364465","display_name":"Lawrence H. Pitts","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1295908608","display_name":"San Francisco General Hospital","ror":"https://ror.org/05j8x4n38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295908608"]},{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L H Pitts","raw_affiliation_strings":["Department of Neurological Surgery, School of Medicine, University of California, San Francisco, and San Francisco General Hospital, San Francisco, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurological Surgery, School of Medicine, University of California, San Francisco, and San Francisco General Hospital, San Francisco, California","institution_ids":["https://openalex.org/I1295908608","https://openalex.org/I180670191"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.7671,"has_fulltext":false,"cited_by_count":94,"citation_normalized_percentile":{"value":0.71589394,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"29","issue":"2","first_page":"227","last_page":"227"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/functional-recovery","display_name":"functional recovery","score":0.7940000295639038},{"id":"https://openalex.org/keywords/traumatic-brain-injury","display_name":"traumatic brain injury","score":0.7480000257492065},{"id":"https://openalex.org/keywords/anisocoria","display_name":"anisocoria","score":0.9589999914169312},{"id":"https://openalex.org/keywords/glasgow-coma-scale","display_name":"Glasgow Coma Scale","score":0.9309999942779541},{"id":"https://openalex.org/keywords/age","display_name":"age","score":0.5120000243186951},{"id":"https://openalex.org/keywords/intracranial-hematoma","display_name":"intracranial hematoma","score":0.9150000214576721},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.8119999766349792},{"id":"https://openalex.org/keywords/prognosis-prediction","display_name":"outcome prediction","score":0.36899998784065247}],"concepts":[{"id":"https://openalex.org/C2776107088","wikidata":"https://www.wikidata.org/wiki/Q521953","display_name":"Anisocoria","level":3,"score":0.9504046440124512},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9388546943664551},{"id":"https://openalex.org/C100136789","wikidata":"https://www.wikidata.org/wiki/Q1772448","display_name":"Coma (optics)","level":2,"score":0.6110036969184875},{"id":"https://openalex.org/C17624336","wikidata":"https://www.wikidata.org/wiki/Q461644","display_name":"Glasgow Coma Scale","level":2,"score":0.5704970359802246},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4878542423248291},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4720640480518341},{"id":"https://openalex.org/C2780635341","wikidata":"https://www.wikidata.org/wiki/Q1297985","display_name":"Brain herniation","level":2,"score":0.47133708000183105},{"id":"https://openalex.org/C2777318445","wikidata":"https://www.wikidata.org/wiki/Q6842571","display_name":"Midline shift","level":3,"score":0.45433148741722107},{"id":"https://openalex.org/C2781017439","wikidata":"https://www.wikidata.org/wiki/Q1995526","display_name":"Traumatic brain injury","level":2,"score":0.4293571710586548},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4108409881591797},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3562401831150055},{"id":"https://openalex.org/C2777394604","wikidata":"https://www.wikidata.org/wiki/Q173318","display_name":"Pupil","level":2,"score":0.10304895043373108},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.0907750129699707},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001933","descriptor_name":"Brain Stem","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D002526","descriptor_name":"Cerebellar Diseases","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D002526","descriptor_name":"Cerebellar Diseases","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D002526","descriptor_name":"Cerebellar Diseases","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D002526","descriptor_name":"Cerebellar Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004677","descriptor_name":"Encephalocele","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004677","descriptor_name":"Encephalocele","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D004677","descriptor_name":"Encephalocele","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D004677","descriptor_name":"Encephalocele","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006259","descriptor_name":"Craniocerebral Trauma","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D006407","descriptor_name":"Hematoma, Epidural, Cranial","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006408","descriptor_name":"Hematoma, Subdural","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009460","descriptor_name":"Neurologic Examination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015996","descriptor_name":"Survival Rate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1097/00006123-199108000-00010","doi":"https://doi.org/10.1097/00006123-199108000-00010","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00006123-199108000-00010","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},{"id":"doi:10.1227/00006123-199108000-00010","doi":"https://doi.org/10.1227/00006123-199108000-00010","is_oa":false,"landing_page_url":"https://doi.org/10.1227/00006123-199108000-00010","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},{"id":"pmid:1886660","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1886660","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1964751549","https://openalex.org/W4291162316","https://openalex.org/W2002585228","https://openalex.org/W4225264401","https://openalex.org/W1967442413","https://openalex.org/W4385383070","https://openalex.org/W2382125142","https://openalex.org/W2053009990","https://openalex.org/W2393348227","https://openalex.org/W2318218752"],"abstract_inverted_index":{"To":[0],"elucidate":[1],"the":[2,14,153,174,190,214,227],"factors":[3],"associated":[4],"with":[5,21,72,161,167,177,193],"functional":[6,45,163,203,232],"recovery":[7,53,88,204],"after":[8,234],"traumatic":[9,235],"transtentorial":[10,25,236],"herniation,":[11],"we":[12],"reviewed":[13],"records":[15],"of":[16,24,29,146,155,173,189,211,216,231],"153":[17],"consecutive":[18],"patients":[19,41,48,60,73,83,135,160,176,192],"admitted":[20],"clinical":[22],"signs":[23],"herniation":[26],"(altered":[27],"level":[28,210],"consciousness,":[30,212],"anisocoria":[31,112,178],"or":[32,65,76,81,104,128,183],"pupillary":[33],"unresponsiveness,":[34],"and":[35,54,67,110,113,120,142,165,196,213],"abnormal":[36],"motor":[37],"findings).":[38],"Overall,":[39],"28":[40],"(18%)":[42],"had":[43,85,137,179,201],"a":[44,51,86,114,138,143,162,168,180,202],"outcome:":[46],"14":[47,55],"(9%)":[49],"made":[50],"good":[52,87,181],"were":[56,62,77,89,95,121],"moderately":[57,133],"disabled.":[58],"Sixteen":[59],"(10.5%)":[61],"severely":[63,79],"disabled":[64,80,134],"vegetative,":[66,82],"104":[68],"(60%)":[69],"died.":[70],"Compared":[71],"who":[74,84],"died":[75],"left":[78],"younger":[90],"(21":[91],"versus":[92],"38":[93],"years),":[94],"significantly":[96,122],"more":[97],"likely":[98,124],"to":[99,106,125,225],"be":[100,126,226],"children":[101],"(less":[102],"than":[103,207],"equal":[105],"17":[107],"years":[108],"old)":[109],"have":[111,129],"deteriorating":[115],"Glasgow":[116],"Coma":[117],"Score":[118],"(GCS),":[119],"less":[123,206],"flaccid":[127],"bilaterally":[130,194],"fixed":[131,195],"pupils;":[132],"also":[136],"lower":[139],"median":[140],"age":[141],"higher":[144],"frequency":[145],"anisocoria.":[147],"There":[148],"was":[149],"no":[150],"difference":[151],"in":[152],"incidence":[154],"significant":[156],"intracranial":[157],"hematomas":[158],"between":[159],"outcome":[164,182,233],"those":[166],"nonfunctional":[169],"outcome.":[170],"Twenty-seven":[171],"percent":[172],"95":[175],"moderate":[184],"disability,":[185],"whereas":[186],"only":[187],"3.5%":[188],"58":[191],"dilated":[197],"pupils":[198],"at":[199,222],"admission":[200,223],"(P":[205],"0.05).":[208],"Age,":[209],"degree":[215],"residual":[217],"upper":[218],"brain":[219],"stem":[220],"function":[221],"appear":[224],"most":[228],"important":[229],"determinants":[230],"herniation.":[237]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}