Estadísticas

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      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "Coronary aneurysm with calcification in a young adult&#58; An unusual cause of cardiac arrest"
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          "titulo" => "Aneurisma coronario con calcificaci&#243;n en un adulto joven&#58; una causa inusual de paro card&#237;aco"
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          "autoresLista" => "J&#46; Song, S&#46;J&#46; Gong, Y&#46;H&#46; Yu"
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    "titulo" => "Kernohan&#8211;Woltman notch phenomenon&#58; Beware of the wrong side&#33;"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Brain CT showed extended right-sided subdural haematoma &#40;A&#41;&#44; with compression of left cerebral peduncle against free tentorial &#40;B&#44; white arrow&#41;&#46; Brain MRI reveals a rounded hyperintense T2 FLAIR &#40;C&#41; and DW1 &#40;D&#41; images in left cerebral peduncle &#40;white arrow&#41;&#44; at 2 days after initial injury&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 60-year-old woman&#44; with past medical history of stroke &#40;under treatment with aspirin and clopidogrel&#41; presented with headache and incomplete palsy of III right cranial nerve&#46; The patient referred a minor head trauma some days ago&#46; Brain computed tomography &#40;CT&#41; showed an extended right-sided subdural haematoma &#40;14<span class="elsevierStyleHsp" style=""></span>mm&#41;&#44; with mass effect&#44; and midline shifted to the left &#40;10<span class="elsevierStyleHsp" style=""></span>mm&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; A craniotomy and evacuation of the subdural collection was done&#46; The patient awaked confused&#44; with right-sided hemiparesis&#46; Cervical spine pathology and stroke were excluded&#46; Magnetic Resonance Image &#40;MRI&#41; of the brain showed changes in the contralateral cerebral peduncle&#44; compatible with Kernohan&#8211;Woltman notch phenomenon&#46; She was transferred to the general ward with moderate right-sided hemiparesis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Neurointensivists should recognize Kernohan&#8211;Woltman notch phenomenon as a paradoxical neurological manifestation of an ipsilateral motor deficit to the primary brain injury&#46; The compression of the contralateral cerebral peduncle against the free tentorial&#44; and the disruption of the corticospinal tract fibers above the medullary decussation&#44; is the causes of this false localising neurological sign&#46;</p></span>"
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