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StatPearls, LLC

  • Brain Injuries, Traumatic
  • Hemorrhage
  • Interdisciplinary Communication
  • Intracranial Hypertension

Duret Hemorrhages

Duret hemorrhages are brainstem hemorrhages that occur due to descending transtentorial herniation that results from a severe traumatic brain injury, intracranial hemorrhage, or other causes of increased intracranial pressure. These hemorrhages develop in the midline and paramedian regions of the pons and midbrain due to vascular disruption of perforating arteries. Because these blood vessels supply critical brainstem structures responsible for autonomic regulation and motor function, Duret hemorrhages are associated with a poor prognosis. Diagnosis is primarily made through neuroimaging, although some cases are only identified post-mortem. Management is directed at aggressively treating the underlying cause of the injury to prevent further neurological deterioration and improve patient outcomes. This course enhances the clinicians understanding of Duret hemorrhages’ pathophysiology, imaging findings, and clinical significance. Participants learn to recognize the early signs of transtentorial herniation, implement evidence-based strategies for managing elevated intracranial pressure, and apply advanced neurocritical care interventions. The course highlights the importance of interprofessional collaboration among neurosurgeons, critical care specialists, and radiologists in ensuring rapid diagnosis and timely intervention. By expediting interdisciplinary communication and decision-making, clinicians improve patient monitoring, optimize treatment strategies, and enhance overall patient outcomes in severe brain injury cases.

Credit & MOC Details

Credit information is provided by the course provider. We recommend confirming credit eligibility with the provider or your licensing board before starting the activity.

Credit types

AAPA Category 1 Credit™Up to 1.5 creditsAMA PRA Category 1 Credit™Up to 1.5 creditsNursingUp to 1.5 creditsPharmacyUp to 1.5 credits

MOC types

ABS — Accredited CMEUp to 1.5 pointsABPATH — Lifelong LearningUp to 1.5 pointsABA — Lifelong LearningUp to 1.5 pointsABTS — Accredited CMEUp to 1.5 pointsABIM — Medical KnowledgeUp to 1.5 pointsABS — Self-AssessmentUp to 1.5 pointsABP — Lifelong Learning and Self-AssessmentUp to 1.5 pointsABTS — Self-AssessmentUp to 1.5 points

FDA REMS

No

Qualifies for MIPS

No

Target Specialties

Cross-Specialty

Relevant across 8 specialties.

Pricing

Fee varies

This provider typically $49–98

See fees on statpearls.com

Listed by the provider

  • Article / monograph / reference
  • Credit · Up to 1.5 credits
  • MOC · Up to 1.5 points
  • Fee varies · this provider typically $49–98
  • Released
    Sep 1, 2026
  • Last day to claim credit
    Sep 1, 2029 3 years left

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