Kernohan-Woltman Notch Phenomenon Following Acute Subdural Hematoma.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 37898273.
- Also identified by DOI 10.1016/j.wneu.2023.10.121.
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Abstract
A 72-year-old right-handed female patient was operated on for left-sided acute subdural hematoma responsible for coma. Two weeks afterward, her neurological status had improved with a Glasgow Coma Scale score of 14 and a paradoxical left-sided hemiparesis. The brain magnetic resonance imaging displayed a diffusion-restricting, hyper fluid-attenuated inversion recovery lesion of the right cerebral peduncle facing the tentorial notch, and the patient was diagnosed with Kernohan-Woltman notch phenomenon. This allowed to focus the neurological rehabiliation on the ipsilateral motor deficit as well as the hemineglect.
Medical subject headings
- Hematoma, Subdural, Acute
- Cerebral Peduncle