Murhega Roméo Bujiriri, Balemba Ghislain Maheshe, Mudekereza Paterne Safari, Musilimu Sudi, Bisimwa Igega, Munguakonkwa Budema Paul, Mubenga Léon-Emmanuel
Department of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of Congo.
Faculty of Medicine Université Catholique de Bukavu Bukavu Democratic Republic of Congo.
Clin Case Rep. 2023 Jul 4;11(7):e7643. doi: 10.1002/ccr3.7643. eCollection 2023 Jul.
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.
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.
克诺汉 - 沃尔特曼现象是一种罕见且矛盾的神经学情况，即经小脑幕病变导致对侧大脑脚受压，进而压迫下行的皮质脊髓纤维，临床上表现为与原发性病变同侧的运动功能缺损。这种现象应引起临床医生的注意，以避免在神经外科手术中出现诸如开颅手术部位错误等不幸事件。在本研究中，我们报告了一例类似情况。
克诺汉 - 沃尔特曼切迹现象是一种罕见且矛盾的神经学情况，其中观察到经小脑幕损伤导致对侧大脑脚受压，进而压迫下行的皮质脊髓纤维，临床上表现为与原发性病变同侧的运动功能缺损。这种现象在多种情况下都有发现，包括肿瘤和颅脑外伤后的脑血肿。在本研究中，我们报告了一名52岁男性，其患有与巨大慢性硬膜下血肿同侧的偏瘫病例。
