PMC4631867_01
Preop CT showing right large epidural hematoma with midline shift.
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Emergent computed topography of the head revealed large 3.6 x 9.7 cm right acute epidural hematoma with mass effect on the adjacent sulci and right lateral ventricle with 1.6 cm right-to-left midline shift (Figure 1).
Postop CT showing resolution of epidural hematoma and postop changes on right.
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Patient underwent urgent craniotomy and evacuation of the epidural hematoma (Figure 2).
Diffusion weighted magnetic resonance image demonstrating right parietal infarct.
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On recovery patient had mild ipsilateral hemiparesis and postoperative imaging revealed Kernohan's notch phenomena (Figures 3, 4, and 5).
Postop MR demonstrating contralateral (left) cerebral crus infarct from herniation (Kernohan's notch phenomenon).
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On recovery patient had mild ipsilateral hemiparesis and postoperative imaging revealed Kernohan's notch phenomena (Figures 3, 4, and 5).
Postop MR demonstrating infarcts from herniation including the left cerebral crus infarcts (white arrow) and right parietal infarcts.
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On recovery patient had mild ipsilateral hemiparesis and postoperative imaging revealed Kernohan's notch phenomena (Figures 3, 4, and 5).