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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(01): 165-167
DOI: 10.4103/1793-5482.180954
Case Report

Contralateral radiculopathy: A kernohan–woltman notch-like phenomenon

Mahdi Safdarian
Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran
,
Farshid Farzaneh
1   Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran
,
Vafa Rahimi-Movaghar
Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran
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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.

Key-words:

Contralateral symptoms - disc herniation - lumbar - radiculopathy


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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