Kernohan’s Notch : A Forgotten Cause of Hemiplegia—CT Scans Are Useful in This Diagnosis
Joint Authors
Panikkath, Ragesh
Panikkath, Deepa
Nugent, Kenneth
Lim, Sian Yik
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Hemiparesis ipsilateral to a cerebral lesion can be a false localizing sign.
This is due to midline shift of the midbrain resulting in compression of the contralateral pyramidal fibers on the tough dural reflection tentorium cerebelli.
This may result in partial or complete damage to these fibers.
Since these fibers are destined to cross in the medulla and innervate the opposite side of the body, this causes hemiparesis ipsilateral to the site of cerebral lesion.
Computed tomography (CT) scans have not been used to support the diagnosis of this entity until now.
We report a 68-year-old woman with a subdural hematoma who developed ipsilateral hemiparesis without any other explanation (Kernohan’s notch).
The CT of the head showed evidence of compression of the midbrain contralateral to the hematoma and was useful in the diagnosis.
The purpose of this report is to increase the awareness of this presentation and to emphasize the utility of CT scans to support the diagnosis.
American Psychological Association (APA)
Panikkath, Ragesh& Panikkath, Deepa& Lim, Sian Yik& Nugent, Kenneth. 2013. Kernohan’s Notch : A Forgotten Cause of Hemiplegia—CT Scans Are Useful in This Diagnosis. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-461358
Modern Language Association (MLA)
Panikkath, Ragesh…[et al.]. Kernohan’s Notch : A Forgotten Cause of Hemiplegia—CT Scans Are Useful in This Diagnosis. Case Reports in Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-461358
American Medical Association (AMA)
Panikkath, Ragesh& Panikkath, Deepa& Lim, Sian Yik& Nugent, Kenneth. Kernohan’s Notch : A Forgotten Cause of Hemiplegia—CT Scans Are Useful in This Diagnosis. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-461358
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461358