Advances in supratentorial and infratentorial combined injuries
ZHU Xiao-ming
ZHANG Liang
ZHANG Chen-xu
HU Shuai
YANG Li-kun
WANG Yu-hai
Abstract：Supratentorial and infratentorial combined injuries is a rare but particularly type of severe traumatic brain injury(sTBI),characterized by high rates of morbidity and mortality.The injury spans the tentorium of cerebellum,involving key structures such as the supratentorial cerebral hemispheres,the infratentorial cerebellum and brain stem.Its pathophysiological mechanism is complex,progression is rapid,and diagnosis and treatment are extremely challenging.Currently,there is no unified clinical consensus established for its management,either domestically or internationally.This article systematically reviews recent research advances in the pathophysiological basis,injury characteristics,clinical manifestations,diagnostic evaluation,treatment strategies,and perioperative management of supratentorial and infratentorial combined injuries,aiming to provide a basis for clinical diagnosis and treatment.
Keywords：Brain injuriestraumaticTomographyX-ray computedMagnetic resonance imagingIntracranial pressureNeurosurgical proceduresPerioperative periodReview
Publication Date：2025-10-25
Online Publishing Date：2025-11-26(First online date of this platform, not the publication date of the document)
Pages：5( 900-904 )