Possible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case report
Abstract Background A subdural hematoma is a type of traumatic brain injury that results from the rupture of the bridging veins. It often presents with various neurological deficits. The Kernohan–Woltman notch phenomenon (KWNP) is a rare complication associated with subdural hematomas, characterized...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-12-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41983-024-00913-w |
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| author | Kapil Chauhan Jabari-Ture Brooks Mosunmola Oyawusi Roger Weir |
| author_facet | Kapil Chauhan Jabari-Ture Brooks Mosunmola Oyawusi Roger Weir |
| author_sort | Kapil Chauhan |
| collection | DOAJ |
| description | Abstract Background A subdural hematoma is a type of traumatic brain injury that results from the rupture of the bridging veins. It often presents with various neurological deficits. The Kernohan–Woltman notch phenomenon (KWNP) is a rare complication associated with subdural hematomas, characterized by ipsilateral hemiparesis due to compression of the contralateral cerebral peduncle. Case presentation We present a case of a 30-year-old female with a left subdural hematoma who exhibited paradoxical ipsilateral hemiparesis and discuss the appearance of KWNP in the context of alcohol withdrawal. We also report on the appearance of delirium tremens 6 days after evacuation. Conclusion In our report, we effectively rule out other causes of ipsilateral hemiparesis such as cerebrovascular accident or mass effect, and demonstrate a rare presentation of KWNP in an uncommon demographic. Our report also demonstrates an incidental finding of delirium tremens that may have been delayed in presentation due to intubation. The findings contribute to further research on these uncommon neurological and psychiatric manifestations. |
| format | Article |
| id | doaj-art-61f8a41e34cb4dc8b9c33fc6c847af4d |
| institution | Kabale University |
| issn | 1687-8329 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj-art-61f8a41e34cb4dc8b9c33fc6c847af4d2024-12-08T12:22:24ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292024-12-016011510.1186/s41983-024-00913-wPossible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case reportKapil Chauhan0Jabari-Ture Brooks1Mosunmola Oyawusi2Roger Weir3Howard University HospitalHoward University HospitalHoward University HospitalHoward University HospitalAbstract Background A subdural hematoma is a type of traumatic brain injury that results from the rupture of the bridging veins. It often presents with various neurological deficits. The Kernohan–Woltman notch phenomenon (KWNP) is a rare complication associated with subdural hematomas, characterized by ipsilateral hemiparesis due to compression of the contralateral cerebral peduncle. Case presentation We present a case of a 30-year-old female with a left subdural hematoma who exhibited paradoxical ipsilateral hemiparesis and discuss the appearance of KWNP in the context of alcohol withdrawal. We also report on the appearance of delirium tremens 6 days after evacuation. Conclusion In our report, we effectively rule out other causes of ipsilateral hemiparesis such as cerebrovascular accident or mass effect, and demonstrate a rare presentation of KWNP in an uncommon demographic. Our report also demonstrates an incidental finding of delirium tremens that may have been delayed in presentation due to intubation. The findings contribute to further research on these uncommon neurological and psychiatric manifestations.https://doi.org/10.1186/s41983-024-00913-wCase reportSubdural hematomaDelirium tremensKernohan–Woltman notch phenomenon |
| spellingShingle | Kapil Chauhan Jabari-Ture Brooks Mosunmola Oyawusi Roger Weir Possible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case report The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Case report Subdural hematoma Delirium tremens Kernohan–Woltman notch phenomenon |
| title | Possible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case report |
| title_full | Possible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case report |
| title_fullStr | Possible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case report |
| title_full_unstemmed | Possible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case report |
| title_short | Possible presentation of Kernohan–Woltman notch phenomenon in a young female with heavy drinking: a case report |
| title_sort | possible presentation of kernohan woltman notch phenomenon in a young female with heavy drinking a case report |
| topic | Case report Subdural hematoma Delirium tremens Kernohan–Woltman notch phenomenon |
| url | https://doi.org/10.1186/s41983-024-00913-w |
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