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
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
收藏
页码:1628 / 1631
页数:4
相关论文
共 50 条
  • [41] Letter to the Editor: Ipsilateral Hemiparesis versus Kernohan-Woltman Notch Phenomenon. When Misunderstandings Need to Be Cleared Up
    Moro, Rodrigo Carrasco
    Pascual, Jose M.
    WORLD NEUROSURGERY, 2025, 193 : 273 - 275
  • [42] Spontaneous intracranial hypotension complicated by unilateral subdural hematoma, coma, and the rare Kernohan's notch phenomenon
    Ozyigit, Ahmet
    CLINICAL CASE REPORTS, 2023, 11 (01):
  • [43] IPSILATERAL MOTOR DEFICIT RESULTING FROM A SUBDURAL-HEMATOMA AND A KERNOHAN NOTCH
    JONES, KM
    SEEGER, JF
    YOSHINO, MT
    AMERICAN JOURNAL OF NEURORADIOLOGY, 1991, 12 (06) : 1238 - 1239
  • [45] Contusional Kernohan notch phenomenon
    Chang, Gregory Youngnam
    NEUROLOGY-CLINICAL PRACTICE, 2016, 6 (06) : 553 - 554
  • [46] In Reply to the Letter to the Editor Regarding "KernohanWoltman Notch Phenomenon Following Acute Subdural Hematoma "
    Beucler, Nathan
    WORLD NEUROSURGERY, 2024, 188 : 244 - 247
  • [47] Acute subdural hematoma caused by clopidrogel
    Ozdemir, Nail
    Yildirim, Murat
    Altinkaya, Kaan
    TURKISH JOURNAL OF EMERGENCY MEDICINE, 2010, 10 (03): : 137 - 140
  • [48] Acute subdural hematoma caused by professional boxing
    Sawauchi, S
    Murakami, S
    Tani, S
    Ogawa, T
    Abe, T
    Suzuki, T
    NEUROLOGICAL SURGERY, 1996, 24 (10): : 905 - 911
  • [49] Detection of Kernohan's notch on magnetic resonance imaging in a patient with acute subdural haematoma
    Hamada, H
    Kuwayama, N
    Endo, S
    Takaku, A
    BRITISH JOURNAL OF NEUROSURGERY, 2000, 14 (05) : 498 - 499
  • [50] COMMENT: Bumping up Kernohan notch phenomenon
    Sy, Heustein
    Kapinos, Gregory
    NEUROLOGY-CLINICAL PRACTICE, 2016, 6 (06) : 554 - 554