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Kernohan's Notch Phenomenon: A Case Study.

Schedler, Pam; Geary, Siobhan
Journal of Neuroscience Nursing:
Articles: PDF Only

: In a patient suffering from brain herniation due to a right-sided subdural hematoma, a neurological examination should show left-sided deficits, known as localizing signs, and a decreased level of consciousness. However, false localizing signs may be present, attributed to pressure on Kernohan's notch. A case study demonstrates these false localizing signs, known as Kernohan's notch phenomenon.

(C) 2002 American Association of Neuroscience Nurses