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Tractography of Persistent Ipsilateral Hemiparesis Following Subdural Hematoma

Title
Tractography of Persistent Ipsilateral Hemiparesis Following Subdural Hematoma
Author
김승현
Keywords
NOTCH PHENOMENON; MOTOR DEFICIT
Issue Date
2013-07
Publisher
Canadian Journal of Neurological Sciences INC
Citation
The Canadian Journal of Neurological Sciences, 2013, 40(4), P.601-602
Abstract
Ipsilateral hemiparesis is occasionally caused by a medullary lesion or by secondary damage to the cerebral peduncle contralateral to the lesion, a so-called Kernohan-Woltman notch phenomenon (KWNP). A possible mechanism of ipsilateral hemiparesis is that morphological changes in the brainstem associated with KWNP are accompanied by irreversible damage to the adjacent corticospinal tract (CST).1-3 A few reports dealing with the acute and sub-acute stages of this paradoxical phenomenon have appeared in the literature.1,2,4,5 In the case reported here, the patient presented with longstanding ipsilateral hemiparesis following traumatic subdural hematoma 16 years previous. We investigated and visualized using fiber tractography (FT) permanent reconfiguration of the CST contralateral to the lesioned side with midbrain atrophy.
URI
https://www.cambridge.org/core/journals/canadian-journal-of-neurological-sciences/article/tractography-of-persistent-ipsilateral-hemiparesis-following-subdural-hematoma/6CBD66C4C4FD2FBF949BEA472561AEB6http://hdl.handle.net/20.500.11754/54121
ISSN
0317-1671
DOI
10.1017/S031716710001475X
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > ETC
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