Kernohan-Woltman notch phenomenon caused by an acute subdural hematoma

被引：24

作者：

Carrasco, Rodrigo ^{[1
]}

Pascual, Jose M. ^{[1
]}

Navas, Marta ^{[1
]}

Martinez-Florez, Pedro ^{[1
]}

Manzanares-Soler, Rafael ^{[2
]}

Sola, Rafael G. ^{[1
]}

机构：

[1] Princesa Univ Hosp, Dept Neurosurg, Madrid 28006, Spain

[2] Princesa Univ Hosp, Dept Neuroradiol, Madrid 28006, Spain

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2009年 / 16卷 / 12期

关键词：

Cerebral peduncle; Kernohan's notch; False localizing signs; Ipsilateral hemiparesis; Subdural hematoma; Tentorial incisura; Uncal herniation; DESCENDING TRANSTENTORIAL HERNIATION; TENTORIAL NOTCH; BRAIN; HEMORRHAGE; INJURY; FALSE;

D O I：

10.1016/j.jocn.2009.02.015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Uncal herniation through the tentorial notch is occasionally associated with false localizing ipsilateral hemiparesis, known as the Kernohan-Woltman notch phenomenon (KWNP). We report an 81-year-old female who presented with a decreased level of consciousness, a right mydriasis and an ipsilateral motor deficit caused by a large right hemispheric subdural hematoma that was immediately evacuated. The patient recovered well, although her right hemiplegia persisted. A follow-up MRI showed a residual lesion in the left cerebral peduncle, corresponding to KWNP. The presence of such a structural lesion suggests a poor prognosis for recovery from the initial motor deficit. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：1628 / 1631

页数：4

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