In a patient suffering from brain herniation due to a right-sided subdural hematoma, a neurological examination should show left-sided deficits, known as localizing signs, and a decreased level of consciousness. However, false localizing signs may be present, attributed to pressure on Kernohan's notch. A case study demonstrates these false localizing signs, known as Kernohan's notch phenomenon.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/01376517-200206000-00008 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Letter to the Editor: Ipsilateral Hemiparesis versus the Kernohan-Woltman Notch Phenomenon. When Misunderstandings Need to Be Cleared Up.
World Neurosurg
December 2024
Department of Neurosurgery, La Princesa University Hospital, Madrid, Spain.
Cerebral herniation, arterial ischemia and the Kernohan-Woltman notch phenomenon.
Neurochirurgie
January 2025
Department of Neurosurgery, La Princesa University Hospital, Spain.
Occurrence of malignant cerebral infarction following intracranial hematoma evacuation in traumatic brain injury: A case report.
Surg Neurol Int
September 2024
Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo Academic General Hospital, Surabaya, Indonesia.
Article Synopsis
- A 57-year-old male experienced a motorcycle accident leading to a traumatic brain injury and reduced consciousness, with imaging revealing a hematoma needing urgent surgery.
- Post-surgery, he showed initial improvement but deteriorated three days later, showing signs of a malignant cerebral infarction on a CT scan, prompting further emergency surgery.
- The case highlights the need for careful monitoring after brain surgery, as early-onset cerebral infarctions can complicate recovery and resemble conditions like Kernohan's Notch Syndrome.
Kernohan-Woltman Notch Phenomenon following intracranial hematoma: the presence of the whole Kernohan's radiologic spectrum in a single patient may be correlated to a dismal prognosis.
Neurochirurgie
September 2024
Neurosurgery Department, Sainte-Anne Military Teaching Hospital, 2 Boulevard Sainte-Anne, 83800 Toulon Cedex 9, France.
In Reply to the Letter to the Editor Regarding "Kernohan-Woltman Notch Phenomenon Following Acute Subdural Hematoma".
World Neurosurg
August 2024
Neurosurgery Department, Sainte-Anne Military Teaching Hospital, Toulon, France. Electronic address:
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!