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Journals / Istanbul Kent University Journal of Health Sciences / 2023 / Cilt: 2 Sayı: 3

AN UNCOMMON CAUSE OF IPSİLATERAL MOTOR DEFİCİT: “KERNOHAN WOLTMAN NOTCH PHENOMENON”

İPSİLATERAL HEMİPAREZİNİN NADİR BİR SEBEBİ: “KERNOHAN WOLTMAN NOTCH FENOMENİ’’

Sultan Çağırıcı(Servergazi State Hospital, Department of Neurology, Denizli, Turkey)0000-0003-0063-6255
Selin Betaş(Afyonkarahisar Sağlık Bilimleri Üniversitesi Hastanesi)0000-0002-7372-2907
Elif Avcı(Pamukkale Üniversitesi Hastanesi Nöroloji Departmanı , Denizli, Türkiye)0000-0001-9024-4858
Pages
26–28
Publication Date
2023-12-27
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

With this case, it was aimed to detect the false-localization symptom, which is defined as KWNF, as soon as possible.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Kernohan-Woltman notch phenomenon (KWNP) is a false localising sign which may cause diagnostic confusion.
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Key Findings & Data:KWNP is characterized by “ipsilateral” hemiparesis due to compression of the contralateral cerebral peduncle against the free edge of the tentorium, thus producing a “groove” or “notch.” In our paper, a patient with ipsilateral hemiparesis complaints after intracranial hemorrhage secondary to trauma is described.
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Conclusion & Impact:With this case, it was aimed to detect the false-localization symptom, which is defined as KWNF, as soon as possible.
🔬Design:Görüntü Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Kernohan-Woltman Notch Fenomeni · yanlış lokalizasyon · intrakraniyal hemoraji

Abstract

Kernohan-Woltman notch phenomenon (KWNP) is a false localising sign which may cause diagnostic confusion. KWNP is characterized by “ipsilateral” hemiparesis due to compression of the contralateral cerebral peduncle against the free edge of the tentorium, thus producing a “groove” or “notch.” In our paper, a patient with ipsilateral hemiparesis complaints after intracranial hemorrhage secondary to trauma is described. With this case, it was aimed to detect the false-localization symptom, which is defined as KWNF, as soon as possible.

Özet

Kernohan – Woltman Notch Fenomeni (KWNF), tanı karışıklığına sebep olabilecek bir yanlış lokalizasyon belirtisidir. KWNF kontralateral serebral pedinkülün tentoryumun serbest kenarına karşı sıkışmasına bağlı bir "oluk" veya "çentik" oluşumuna yol açarak "ipsilateral" hemiparezi ile karakterizedir. Bu yazımızda, travmaya sekonder intrakraniyal kanama sonrası aynı taraflı hemiparezi kliniğiyle başvuran bir hasta ele alınmıştır. Bu olgu ile KWNF olarak tanımlanan, yanlış lokalizasyon belirtisinin en erken sürede fark edilmesini sağlamak amaçlanmıştır.

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Cite This Article

Çağırıcı, S., Betaş, S., Avcı, E. (2023). AN UNCOMMON CAUSE OF IPSİLATERAL MOTOR DEFİCİT: “KERNOHAN WOLTMAN NOTCH PHENOMENON”. Istanbul Kent University Journal of Health Sciences, Cilt: 2 Sayı: 3, 26–28. https://ajindex.com/articles/1629805

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References (6)

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