scholarly journals Contralateral pupillary dilatation and hemiparesis: Kernohan’s notch revisited

2020 ◽  
Vol 35 (1) ◽  
Author(s):  
Amit Agrawal ◽  
V. A. Kiran Kumar ◽  
Luis Rafael Moscote-Salazar

AbstractIntracranial mass lesions can lead to transtentorial uncal herniation, and pupillary asymmetry is a well-recognized sign of impending cerebral herniation. Impending uncal herniation can lead to ipsilateral, bilateral, or uncommonly the contralateral pupillary dilatation. We report a case of a 22-year old, who had contralateral pupillary dilatation due to expanding intracranial mass lesion and recovered well after neurosurgical intervention. This case illustrates contralateral pupillary dilatation (“false-localizing” sign) in a sub-group of patients, and if untreated and ICP continues to rise, this is followed by ipsilateral pupil dilatation.

Neurosurgery ◽  
1992 ◽  
Vol 30 (5) ◽  
pp. 769-773 ◽  
Author(s):  
Rhett Murray ◽  
Richard Morawetz ◽  
John Kepes ◽  
Taher El Gammal ◽  
Mark LeDoux

Neurosurgery ◽  
1990 ◽  
pp. 822 ◽  
Author(s):  
S Miyachi ◽  
T Kobayashi ◽  
T Takahashi ◽  
K Saito ◽  
Y Hashizume ◽  
...  

Neurosurgery ◽  
1979 ◽  
Vol 5 (6) ◽  
pp. 653-655 ◽  
Author(s):  
Leonard F. Hirsh

Abstract Delayed traumatic intracerebral hematomas found after an initially unrevealing computerized tomographic scan have been reported occasionally. Such hemorrhage may occur in an area of brain contusion with cerebral vessel injury. Four cases of intracerebral hematoma appearing after evacuation of a different traumatic intracranial mass lesion are reported. This suggests that an intracranial mass lesion may tamponade cerebral venous oozing in an area of brain contusion and delay the accumulation of intracerebral blood, accounting for the late discovery of a parenchymal hematoma.


Neurosurgery ◽  
1990 ◽  
Vol 26 (5) ◽  
pp. 856-859 ◽  
Author(s):  
Christopher Guerin ◽  
Dan S. Heffez

Abstract There are few reported complications associated with the use of Gelfoam. We report the case of a 29-year-old woman who developed signs and symptoms of meningeal inflammation and an expanding intracranial mass related to the intracranial use of Gelfoam. Findings were confirmed by surgical exploration. Signs and symptoms resolved promptly after therapy with intravenous dexamethasone. but complete resolution of radiological findings required 5 months. As the use of Gelfoam is essential to neurosurgical practice, it is important to be aware of significant complications related to its use.


Cephalalgia ◽  
2007 ◽  
Vol 27 (8) ◽  
pp. 943-944 ◽  
Author(s):  
A Guillem ◽  
FJ Barriga ◽  
S Giménez-Roldán

Nummular headache is a coin-shaped, chronic cephalalgia usually considered to stem from epicranial tissues. We describe a patient complaining of circumscribed pain in the head as the only symptom of a subtentorial meningioma. This observation underlines the need to revise the concept of circumscribed, referred pains in the head arising from pain-sensitive intracranial structures.


2005 ◽  
Vol 22 (3) ◽  
pp. 305-309 ◽  
Author(s):  
Essam A. Elgamal ◽  
Peter G. Richards

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