Namura S, Kang Y, Matsuda I, Kamijyo Y
Department of Neurosurgery, Otsu Red Cross Hospital, Japan.
Neurol Med Chir (Tokyo). 1997 Jan;37(1):32-5. doi: 10.2176/nmc.37.32.
A 16-year-old girl presented with left hemiparesis and right oculomotor nerve paresis due to temporal lobe herniation resulting from a traumatic acute subdural hematoma secondary to a head injury. Computed tomography revealed a subdural hematoma in the right frontotemporal regions and midline structures shifted to the left. She became comatose and underwent an emergency operation. The hemiparesis and newly manifested homonymous hemianopsia on the right side persisted after surgery. Postoperative magnetic resonance imaging showed Kernohan's notch in the cerebral peduncle and infarctions in the occipital lobe and posterolateral part of the thalamus on the left side, contralateral to the supratentorial lesion.
一名16岁女孩因头部受伤继发创伤性急性硬膜下血肿导致颞叶疝，出现左侧偏瘫和右侧动眼神经麻痹。计算机断层扫描显示右侧额颞部硬膜下血肿，中线结构向左移位。她陷入昏迷并接受了紧急手术。术后左侧偏瘫和新出现的右侧同向性偏盲仍持续存在。术后磁共振成像显示大脑脚有克诺汉切迹，左侧枕叶和丘脑后外侧部分有梗死灶，与幕上病变对侧。
