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The great forgotten" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "619" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Dolores Páez Sánchez, Pedro Fernández Florido, Alberto Iglesias Santiago" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María Dolores" "apellidos" => "Páez Sánchez" "email" => array:1 [ 0 => "mariadoloresps@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Fernández Florido" ] 2 => array:2 [ "nombre" => "Alberto" "apellidos" => "Iglesias Santiago" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario Virgen de las Nieves, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fenómeno de Kernohan. El gran olvidado" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 603 "Ancho" => 691 "Tamanyo" => 55123 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0065" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Compression at brainstem against contralateral tentorium.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a 75-year-old man treated with scheduled surgical clipping of a giant aneurysm at left internal carotid artery level. After surgery, a cranial CT scan performed revealed the presence of an image consistent with acute ischemia in the left frontal region. Twenty-four hours later, right side mydriasis was reported. This new finding prompted a new cranial CT scan that revealed the progression of ischemic phenomena with damage to the left middle and posterior cerebral artery territories (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) with signs of intracranial hypertension and compression at brainstem level against the contralateral tentorium (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), which would explain the midriasis of the right side. This is know as the Kernohan-Woltman notch phenomenon. Despite medical treatment, the option of decompressive craniectomy was ruled out, and the patient progressed to brain death.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 608 "Ancho" => 692 "Tamanyo" => 52285 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0060" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Progression ischemia at MCA territory.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 603 "Ancho" => 691 "Tamanyo" => 55123 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0065" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Compression at brainstem against contralateral tentorium.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004700000010/v3_202311091840/S2173572723000619/v3_202311091840/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004700000010/v3_202311091840/S2173572723000619/v3_202311091840/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723000619?idApp=WMIE" ]
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