• World Neurosurg · Jan 2024

    Kernohan-Woltman notch phenomenon following acute subdural hematoma.

    • Nathan Beucler, Marie Monnier, and Anthony Faivre.
    • Neurosurgery Department, Sainte-Anne Military Teaching Hospital, Toulon, France; Ecole du Val-de-Grâce, French Military Health Service Academy, Paris, France. Electronic address: nathan.beucler@neurochirurgie.fr.
    • World Neurosurg. 2024 Jan 1; 181: 145146145-146.

    AbstractA 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.Copyright © 2023 Elsevier Inc. All rights reserved.

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