False localising signs

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

False localising signs. This is hemiparesis ipsilateral to the side of a brain lesion. Fully referenced neurology checklist.

Kernohan-Woltman notch phenomenon

  • This is hemiparesis ipsilateral to the side of a brain lesion
  • It occurs with tentorial herniation of the uncus of the temporal lobe
  • This causes contralateral pyramidal tract compression against the tentorium

Foster-Kennedy syndrome

Locked: subscribe to see this section.

Cranial nerve palsies

Locked: subscribe to see this section.

Cerebellar ataxia

Locked: subscribe to see this section.

False localising signs with spinal cord lesions

Locked: subscribe to see this section.

References

  1. Larner AJ. False localising signs. JNNP 2003; 74:415-418. 
  2. Zhang CH, DeSouza RM, Kho JS, Vundavalli S, Critchley G. Kernohan-Woltman notch phenomenon: a review article. Br J Neurosurg 2017; 31:159-166. 
  3. McKenna C, Fellus J, Barrett AM. False localizing signs in traumatic brain injury. Brain Inj 2009; 23:597-601.
  4. Carrasco R, Pascual JM. False localising hemiparesis: a puzzling pathophysiological phenomenon. Br J Neurosurg 2017; 31:293-294.
  5. McKenna C, Fellus J, Barrett AM. False localizing signs in traumatic brain injury. Brain Inj 2009; 23:597-601.
  6. And 2 more. Subscribe to see the full list

Related checklists

Loading...