“ I can live with doubt, and uncertainty, and not knowing. I think it’s much more interesting to live not knowing than to have answers which might be wrong. I have approximate answers, and possible beliefs, and different degrees of certainty about different things, but I’m not absolutely sure of anything, and then many things I don’t know anything about, such as whether it means anything to ask why we’re here, and what the question might mean. I might think about it a little, but if I can’t figure it out, then I go on to something else. But I don’t have to know an answer. I don’t feel frightened by not knowing things, by being lost in a mysterious universe without having any purpose, which is the way it really is, as far as I can tell, possibly. It doesn’t frighten me. ”
~ Richard Feynman; (Born 95 years ago today, May 11, 1918)
![yasasiihitogomi:
Transtentorial herniation, Uncal herniation
occurs when the medial aspect of the temporal lobe compresses the free margin of the tentorium.
1. Compress CN III → ipsilateral pupillary dilation※Note the parasynpathetic nerve of CNIII is first affected by compression, followed by motor nerve damage.
2. Compress ipsilateral Posterior cerebral artery → hypoperfusion of the primary visual cortex, contralateral hemianopsia
3. Compress ipsilateral crus cerebri → contralateral hemiparesis
sometimes contralateral crus cerebri is compressed, causing paresis which is ipsilateral to the mass lesion(Kernohan’s notch)
4. Duret hemorrhages = Hemorrhagic lesions in the midbrain and pons
[X] ←helpful site to study about herniation](http://24.media.tumblr.com/4244a11864fb621758dc14dc7f824efc/tumblr_mmnyfsRxRS1s9h6f7o1_500.jpg)






