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cerebral angiomatosis

Kernohan -Woltman Notch phenomenon
38 /F, post partum left hemiparesis, slurred speech and seizures.

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Comment by Dr. Chandra Sundararajan Maudar on September 23, 2014 at 1:58pm

This bwas an interesting case , specially for the teaching files! 38 /F presenting with post partum seizures, slurred speech and left hemiparesis. Left occipito parietal cerebral angiomatosis --leading to acute bleed and ischemia.. resulting in left uncal transtentorial herniation. Kernohan -Woltman Notch phenomenon well demonstrated here--compression of contralateral cerebral peduncle against the tentorium cerebelli causing a false localising ipsilateral hemiparesis. 

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