Abstract
A 60-year-old female presented with a massive left subdural hematoma caused by the rupture of a distal anterior cerebral artery aneurysm. On admission, she was comatose with fixed and dilated pupils, showing a decerebrate posture. She underwent an emergency operation. The subdural hematoma was removed and an external decompression was also undertaken. Her level of consciousness gradually improved and a left hemiplegia became evident. A T2-weighted MRI revealed a lesion in the right cerebral peduncle on the extending line of the tentorium. Such hyperintense lesions may represent the myelin destruction around Kernohan's notch.
| Original language | English |
|---|---|
| Pages (from-to) | 537-540 |
| Number of pages | 4 |
| Journal | Japanese Journal of Neurosurgery |
| Volume | 10 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2001 |
| Externally published | Yes |
Keywords
- Aneurysm
- Anterior cerebral artery
- Kernohan's notch
- MRI
- Subdural hematoma
ASJC Scopus subject areas
- Surgery
- Clinical Neurology