Journal of Korean Neurosurgical Society

  • 제60권3호
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  • Pages.362-366
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  • 2017
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Contralateral Superior Cerebellar Artery Syndrome : A Consequence of Brain Herniation

  • Mohseni, Meysam (Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences) ;
  • Habibi, Zohreh (Department of Pediatric Neurosurgery, Children's Hospital Medical Center, Tehran University of Medical Sciences) ;
  • Nejat, Farideh (Department of Pediatric Neurosurgery, Children's Hospital Medical Center, Tehran University of Medical Sciences)
  • 투고 : 2014.02.26
  • 심사 : 2014.06.20
  • 발행 : 2017.05.01
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초록

Vascular compromise is a well-known consequence of brain herniation syndromes. Transtentorial brain herniation most often involves posterior cerebral arteries. However, isolated involvement of contralateral superior cerebellar artery (SCA) during unilateral impending brain herniation is reported only once and we present another case of this exceedingly rare entity. A 24-year-old man was referred to us with impending herniation due to a multiloculated hydrocephalus, and during the course of illness, he developed an isolated SCA ischemia in the opposite side of the most dilated entrapped horn. In the current article we discuss the probable pathophysiologic mechanisms of this phenomenon, as well as recommending more inclusive brain studies in cases suspected of Kernohan-Woltman notch phenomenon in unilateral brain herniation. The rationale for this commentary is that contralateral SCA transient ischemia or infarct might be the underdiagnosed underlying pathomechanism of ipsilateral hemiparesis occurring in many cases of this somehow vague phenomenon.

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참고문헌

  1. Arnold M, Halpern M, Meier N, Fischer U, Haefeli T, Kappeler L, et al. : Age-dependent differences in demographics, risk factors, co-morbidity, etiology, management, and clinical outcome of acute ischemic stroke. J Neurol 255 : 1503-1507, 2008 https://doi.org/10.1007/s00415-008-0949-9
  2. Chungpieboonpatana A, Ratanalert S, Ladpli S : Occipital lobe infarction following descending transtentorial herniation. J Med Assoc Thai 71 : 553-560, 1988
  3. Correia M, Silva MR, Matos I, Magalhaes R, Lopes JC, Ferro JM, et al. : Prospective community-based study of stroke in Northern Portugal : incidence and case fatality in rural and urban populations. Stroke 35 : 2048-2053, 2004 https://doi.org/10.1161/01.STR.0000137606.34301.13
  4. Ferro JM, Massaro AR, Mas JL : Aetiological diagnosis of ischaemic stroke in young adults. Lancet Neurol 9 : 1085-1096, 2010 https://doi.org/10.1016/S1474-4422(10)70251-9
  5. Kernohan JW, Woltman HW : Incisura of the crus due to contralateral brain tumor. Arch Neurol Psychiatry 21 : 274-287, 1929 https://doi.org/10.1001/archneurpsyc.1929.02210200030004
  6. Marini C, De Santis F, Sacco S, Russo T, Olivieri L, Totaro R, et al. : Contribution of atrial fibrillation to incidence and outcome of ischemic stroke : results from a population-based study. Stroke 36 : 1115-1119, 2005 https://doi.org/10.1161/01.STR.0000166053.83476.4a
  7. McOmish D, Pike J : Occipital lobe infarction following descending transtentorial brain herniation. Australas Radiol 25 : 9-12, 1981 https://doi.org/10.1111/j.1440-1673.1981.tb02211.x
  8. Muthukumar N, Gurunathan J, Jawahar G, Gajendran R : Occipital lobe infarction caused by tentorial herniation. J Indian Med Assoc 90 : 161, 1992
  9. Sato M, Tanaka S, Kohama A, Fujii C : Occipital lobe infarction caused by tentorial herniation. Neurosurgery 18 : 300-305, 1986 https://doi.org/10.1227/00006123-198603000-00007
  10. Wang KC, Hong SK, Kim IO, Cho BK, Han DH : Infarction of the territory supplied by the contralateral superior cerebellar artery in a case of descending transtentorial herniation. Childs Nerv Syst 11 : 432-435, 1995 https://doi.org/10.1007/BF00717413

피인용 문헌

  1. Unilateral cerebral herniation resulting in combined contralateral superior cerebellar artery territory infarction and mesencephalic injury: Two cases of a severe unrecognized variant of Kernohan notc vol.15, pp.3, 2017, https://doi.org/10.1016/j.radcr.2019.12.004