{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T08:26:53Z","timestamp":1787905613714,"version":"build-2784847793"},"reference-count":28,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 69-year-old man presented with a sudden headache followed by unconsciousness. There was no head injury. The Glasgow Coma Scale (GCS) score was 3\/15 and there was a left mydriasis, unreactive to light. The CT-scan showed a left acute subdural haematoma causing a remarkable mass effect. A supratentorial hemispheric craniotomy was performed. Nevertheless, after several weeks at the intensive care unit (ICU), the patient was still unresponsive to external stimuli and did not show any motor activity. A comfort care attitude was decided on with the family and the patient was extubated. However, a few days later, the patient subsequently showed a surprisingly favourable course, with improved wakefulness. Indeed, the GCS score improved, and the treatment plan was modified so that the patient benefited from rehabilitation. The MRI showed a right cerebral peduncle lesion, consistent with a Kernohan\u2013Woltman notch phenomenon (KWNP). Six months later, the patient was able to walk and live quite normally.<\/jats:p>","DOI":"10.1136\/bcr-2013-202094","type":"journal-article","created":{"date-parts":[[2014,2,17]],"date-time":"2014-02-17T12:03:00Z","timestamp":1392638580000},"page":"bcr2013202094","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Kernohan's notch and misdiagnosis of disorders of consciousness"],"prefix":"10.1136","volume":"2014","author":[{"given":"Alexandre","family":"Simonin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Levivier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Nistor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Diserens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,2,17]]},"reference":[{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2006.05.016"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(97)90174-X"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0303-8467(99)00017-7"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2007.138131"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.5","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000115674.15497.09"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.02.033"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.07.218"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.8","doi-asserted-by":"publisher","DOI":"10.1080\/02699050902973921"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2007.11.008"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.10","doi-asserted-by":"crossref","unstructured":"Kernohan MB Woltman MD . Incisura of the crus due to contralateral brain tumor. Arch Neur Psych 1929.","DOI":"10.1001\/archneurpsyc.1929.02210200030004"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)90255-4"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.12","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2002.96.6.1103"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.13","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2007.138131"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-010-0732-4"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.15","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199008000-00005"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.16","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-010-0732-4"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.17","doi-asserted-by":"publisher","DOI":"10.1001\/archneurpsyc.1929.02210200030004"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.18","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1995.82.4.0645"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.19","first-page":"1238","article-title":"Ipsilateral motor deficit resulting from a subdural hematoma and a Kernohan notch","volume":"12","author":"Jones","year":"1991","journal-title":"Am J Neuroradiol"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.20","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.37.32"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.21","first-page":"563","article-title":"Magnetic resonance imaging of Kernohan's notch in chronic subdural hematoma","volume":"49","author":"Yamasaki","year":"1997","journal-title":"No To Shinkei"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.22","doi-asserted-by":"crossref","first-page":"E1166","DOI":"10.1093\/neurosurgery\/56.5.1166a","article-title":"Transcranial motor evoked potential recording in a case of Kernohan's notch syndrome: case report","volume":"56","author":"Derakhshan","year":"2005","journal-title":"Neurosurgery"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.23","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/S1130-1473(04)70474-1","article-title":"Contralateral mesencephalic injury due to tentorial uncal herniation. Magnetic resonance imaging of the Kernohan's notch","volume":"15","author":"Gim\u00e9nez-Pando","year":"2004","journal-title":"Neurocirugia (Astur)"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.24","doi-asserted-by":"publisher","DOI":"10.1097\/01376517-200206000-00008"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.25","doi-asserted-by":"publisher","DOI":"10.1080\/02688690050175409"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.26","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.55.11.1751"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.27","doi-asserted-by":"publisher","DOI":"10.1207\/s15324826an0302_2"},{"key":"2025042702395508000_2014.feb17_1.bcr2013202094.28","doi-asserted-by":"publisher","DOI":"10.1007\/BF00596342"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-202094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:40:02Z","timestamp":1745746802000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-202094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,17]]},"references-count":28,"alternative-id":["10.1136\/bcr-2013-202094"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-202094","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,17]]}}}