The skull is an incompressible closed space with a limited volume monrokellie doctrine. Gbs was considered to be a demyelinating disease of the p. This produces ipsilateral hemiparesis or hemiplegia. Kernohans notch is an ipsilateral condition, in that a leftsided primary lesion in which kernohans notch would be on the right side evokes motor impairment in the left. The kernohan syndrome results from the compression of the cerebral peduncle against the tentorium cerebelli. This is now called the kernohan woltman notch phenomenon kwnp. Transcranial motor evoked potential recording in a case of kernohans notch syndrome. Edelwich y brodsky 1980 lo describen como una perdida. We report this case of kernohanwoltman notch phenomenon in a 50 year old man with a chronic. Kernohans notch is a cerebral peduncle indentation associated with some forms of.
En 1916 sthrol y guillian barre descubrieron las alteraciones a nivel del l. Kernohan and woltman described this phenomenon in 1929. Kernohan s notch is a cerebral peduncle indentation associated with some forms of transtentorial herniation uncal herniation. Xxvi, 1 eneroabril 2011 c o l e g i o m e x i c a n o d e u r o l g i a n a c i n a l, a. The original paper was reported by guillain, barre and strohl in 1916. Kernohan s notch phenomenon is a result of the compression of the cerebral peduncle, which is part of the mesencephalon, against the tentorium cerebelli due to transtentorial herniation. Maira verena guerrero aguilar, 1 jose miguel acosta garcia, 2 lidia rosa cutino montero, 3 luis augusto pompa milanes. Chronic subdural hematoma presenting with kernohanwoltman.
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