In-hospital unexpected cerebral herniation—New neurosurgical quality control standards: A case report

This case illustrates how IHUCH can occur even under close neuro-monitoring. Key risk factors include postoperative hematoma recurrence, bilateral frontal lobe contusions, delayed traumatic intracranial hematoma, paradoxical cerebral herniation, chronic subdural hygroma, and tumor. Integrating IHUCH into neurosurgical quality control standards, augmented by continuous multimodal intracranial pressure monitoring, may enhance early detection and improve outcomes.