Murhega RB, Balemba Ghislain M, Mudekereza PS, Musilimu S, Bisimwa I, Munguakonkwa Budema P, Mubenga L. Kernohan-Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu.
Clin Case Rep 2023;
11:e7643. [PMID:
37415583 PMCID:
PMC10319946 DOI:
10.1002/ccr3.7643]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 11/12/2022] [Accepted: 06/23/2023] [Indexed: 07/08/2023] Open
Abstract
Key Clinical Message
Kernohan-Woltman phenomenon is a rare and paradoxical neurological situation in which a transtentorial lesion leads to compression of the contralateral cerebral peduncle responsible for compression of the descending corticospinal fibers with clinical consequence of a motor deficit ipsilateral to the primary lesion. This phenomenon should attract the attention of clinicians in order to avoid unfortunate incidents such as wrong-side craniotomy in neurosurgical practice. In this work, we report a similar situation.
Abstract
The Kernohan-Woltman notch phenomenon is a rare and paradoxical neurological situation in which transtentorial damage is observed leading to compression of the contralateral cerebral peduncle responsible for compression of descending corticospinal fibers with the clinical consequence of a motor deficit ipsilateral to the primary lesion. This phenomenon has been found in several situations including tumors and cerebral hematomas after craniocerebral trauma. In this work, we have reported the case of a 52-year-old man with hemiparesis ipsilateral to a large chronic subdural hematoma.
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