Schedler Pam, Geary Siobhan
Sutter Medical Center, Nursing Administration, 2801 L Street, Sacramento, CA 95816, USA.
J Neurosci Nurs. 2002 Jun;34(3):158-9. doi: 10.1097/01376517-200206000-00008.
In a patient suffering from brain herniation due to a right-sided subdural hematoma, a neurological examination should show left-sided deficits, known as localizing signs, and a decreased level of consciousness. However, false localizing signs may be present, attributed to pressure on Kernohan's notch. A case study demonstrates these false localizing signs, known as Kernohan's notch phenomenon.
在一名因右侧硬膜下血肿而发生脑疝的患者中,神经系统检查应显示左侧功能缺损,即所谓的定位体征,以及意识水平下降。然而,可能会出现假定位体征,这是由于大脑镰下疝对克诺汉切迹的压迫所致。一项病例研究展示了这些假定位体征,即所谓的克诺汉切迹现象。