Arab Board Neurosurgery Final Clinical & Oral

Practice session

A 55-year-old male with a massive right temporal lobe glioblastoma acutely deteriorates in the neuro-intensive care unit. His GCS drops from 13 to 5, his right pupil becomes dilated and fixed to light, and he develops dense left-sided hemiplegia. What herniation syndrome has occurred, and what anatomical structures are being mechanically compressed?

Loading your practice session…