Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu
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 defic...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-07-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.7643 |
| _version_ | 1797772057368330240 |
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| author | Roméo Bujiriri Murhega Maheshe Balemba Ghislain Paterne Safari Mudekereza Sudi Musilimu Igega Bisimwa Paul Munguakonkwa Budema Léon‐Emmanuel Mubenga |
| author_facet | Roméo Bujiriri Murhega Maheshe Balemba Ghislain Paterne Safari Mudekereza Sudi Musilimu Igega Bisimwa Paul Munguakonkwa Budema Léon‐Emmanuel Mubenga |
| author_sort | Roméo Bujiriri Murhega |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T21:46:31Z |
| format | Article |
| id | doaj.art-a21ab6ac2e9445f18b65a6ff0e8f8089 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-12T21:46:31Z |
| publishDate | 2023-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-a21ab6ac2e9445f18b65a6ff0e8f80892023-07-26T12:00:45ZengWileyClinical Case Reports2050-09042023-07-01117n/an/a10.1002/ccr3.7643Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in BukavuRoméo Bujiriri Murhega0Maheshe Balemba Ghislain1Paterne Safari Mudekereza2Sudi Musilimu3Igega Bisimwa4Paul Munguakonkwa Budema5Léon‐Emmanuel Mubenga6Department of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of CongoDepartment of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of CongoDepartment of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of CongoDepartment of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of CongoDepartment of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of CongoDepartment of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of CongoDepartment of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of CongoKey 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.https://doi.org/10.1002/ccr3.7643BukavuKernohan–Woltmansubdural hematoma |
| spellingShingle | Roméo Bujiriri Murhega Maheshe Balemba Ghislain Paterne Safari Mudekereza Sudi Musilimu Igega Bisimwa Paul Munguakonkwa Budema Léon‐Emmanuel Mubenga Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu Clinical Case Reports Bukavu Kernohan–Woltman subdural hematoma |
| title | Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu |
| title_full | Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu |
| title_fullStr | Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu |
| title_full_unstemmed | Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu |
| title_short | Kernohan–Woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in Bukavu |
| title_sort | kernohan woltman notch phenomenon in patient with subdural hematoma and ipsilateral hemiparesis in bukavu |
| topic | Bukavu Kernohan–Woltman subdural hematoma |
| url | https://doi.org/10.1002/ccr3.7643 |
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