Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon

Lumbar disc herniation is the most common cause of radiculopathy. In most cases, the chief complaint is associated with radicular pain due to nerve compression on the herniated side. However, a radicular pain contralateral to the herniation side is an unusual finding rarely reported in the literatur...

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Autores principales: Safdarian, Mahdi, Farzaneh, Farshid, Rahimi-Movaghar, Vafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820878/
https://www.ncbi.nlm.nih.gov/pubmed/29492153
http://dx.doi.org/10.4103/1793-5482.180954
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author Safdarian, Mahdi
Farzaneh, Farshid
Rahimi-Movaghar, Vafa
author_facet Safdarian, Mahdi
Farzaneh, Farshid
Rahimi-Movaghar, Vafa
author_sort Safdarian, Mahdi
collection PubMed
description Lumbar disc herniation is the most common cause of radiculopathy. In most cases, the chief complaint is associated with radicular pain due to nerve compression on the herniated side. However, a radicular pain contralateral to the herniation side is an unusual finding rarely reported in the literature. Here, a case of right lower limb radicular pain in the presence of left extruded L4–L5 disc herniation is reported. Management of the patient is discussed in addition to a review of the literature regarding hypotheses on the mechanism of this unusual situation.
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spelling pubmed-58208782018-02-28 Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon Safdarian, Mahdi Farzaneh, Farshid Rahimi-Movaghar, Vafa Asian J Neurosurg Case Report Lumbar disc herniation is the most common cause of radiculopathy. In most cases, the chief complaint is associated with radicular pain due to nerve compression on the herniated side. However, a radicular pain contralateral to the herniation side is an unusual finding rarely reported in the literature. Here, a case of right lower limb radicular pain in the presence of left extruded L4–L5 disc herniation is reported. Management of the patient is discussed in addition to a review of the literature regarding hypotheses on the mechanism of this unusual situation. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5820878/ /pubmed/29492153 http://dx.doi.org/10.4103/1793-5482.180954 Text en Copyright: © 2018 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Safdarian, Mahdi
Farzaneh, Farshid
Rahimi-Movaghar, Vafa
Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon
title Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon
title_full Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon
title_fullStr Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon
title_full_unstemmed Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon
title_short Contralateral Radiculopathy: A Kernohan–Woltman Notch-like Phenomenon
title_sort contralateral radiculopathy: a kernohan–woltman notch-like phenomenon
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820878/
https://www.ncbi.nlm.nih.gov/pubmed/29492153
http://dx.doi.org/10.4103/1793-5482.180954
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AT farzanehfarshid contralateralradiculopathyakernohanwoltmannotchlikephenomenon
AT rahimimovagharvafa contralateralradiculopathyakernohanwoltmannotchlikephenomenon

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