This is a medical emergency, so treatment must be started right away. Treatment is aimed at reducing the brain's swelling. The person will be given different kinds of medicine through an intravenous line, called an IV. This treatment helps to get rid of excess water in the brain and reduce swelling. Treatment of the cause of the herniation is started next. The person will be kept in the hospital until the problem is solved.
Even with successful relief of symptoms, the herniation may return if the cause is not also fixed. For instance, sometimes brain tumors return. In some cases, surgery is needed to relieve the pressure. Medicines may cause side effects, such as allergic reactions and chemical imbalances, that need to be treated right away. Close monitoring is critical during treatment.
A person is often left with severe impairments, including:
If the person has significant impairments, it is important to begin rehabilitation with specialized therapists, nurses, and doctors who treat brain injuries.
All vital signs, such as heart rate, blood pressure, breathing rate, body temperature, and pressure inside the skull, should be monitored during treatment. After the crisis is over, ongoing monitoring of the problem that caused the herniation may be needed. Any new or worsening symptoms should be reported to the doctor.