A case of ipsilateral hemiplegia after acute subdural hematoma surgery with Kernohan’s notch confirmed by MRI
-
- Suzuki Ryo
- Department of Emergency and Critical Care Medicine, Tokyo Medical Center Department of Emergency Medicine, The Jikei University School of Medicine
-
- Kameda Takanori
- Department of Emergency and Critical Care Medicine, Tokyo Medical Center
-
- Taga Sho
- Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine
-
- Ageishi Ryo
- Department of Intensive Care Unit, Tokyo Metropolitan Bokutoh Hospital
-
- Kimura Shinichi
- Department of Emergency and Critical Care Medicine, Tokyo Medical Center
Bibliographic Information
- Other Title
-
- 急性硬膜下血腫術後の同側片麻痺に対しMRIでKernohan’s notchを確認できた1例
Search this article
Abstract
<p>A woman in her 30s with a right traumatic acute subdural hematoma (ASDH) was brought to our hospital. On admission, Her pupils were bilaterally dilated. On the second day, her pupillary findings improved, and she underwent craniotomy for removal of the hematoma and external decompression. Postoperatively, right hemiplegia was observed, and a head MRI scan was performed. As a result, Kernohan’s notch (Kn) was diagnosed as the cause of right hemiplegia. ASDH and head trauma can rapidly lead to cerebral herniation, so it is important to keep in mind the development of Kn.</p>
Journal
-
- KANTO Journal of Japanese Association for Acute Medicine
-
KANTO Journal of Japanese Association for Acute Medicine 44 (4), 324-328, 2023-12-28
Japanese Association for Acute Medicine of Kanto
- Tweet
Details 詳細情報について
-
- CRID
- 1390861559985565824
-
- ISSN
- 24342580
- 0287301X
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
-
- Abstract License Flag
- Disallowed