Chronic Subdural Hematoma Presenting with Kernohan-Woltman Notch Phenomenon: A Case Report_Techniques in Neurosurgery & Neurology: Crimson Publishers_Journal of Neurology
Kernohan-Woltman Notch Phenomenon (KWNP) is a neurologic picture caused
by the compression of the contralateral cerebral peduncle on the
free edge of the tentorium resulting from the displacement of the brain
tissue at the ipsilateral side of a paradoxically supratentorial lesion
leading to
mydriasis and hemiparesis or hemiplegia ipsilateral to a supratentorial
space occupying mass [1]. This phenomenon is usually reported secondary
to
brain tumors and severe head injuries [2]. The development of KWNP
secondary to chronic subdural hematomas has been rarely reported and
there is
no reported case from Ghana where this case is being reported from. We
report this case of Kernohan-Woltman notch phenomenon in a 50 year old
man
with a chronic subdural hematoma who was brought to the Emergency
Department in a comatose state
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