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James Watson Kernohan, M.D. (1896–1981) was an Irish-American
pathologist Pathology is the study of the causal, causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when us ...
born October 1, 1896 in
County Antrim County Antrim (named after the town of Antrim, ) is one of six counties of Northern Ireland and one of the thirty-two counties of Ireland. Adjoined to the north-east shore of Lough Neagh, the county covers an area of and has a population o ...
,
Ireland Ireland ( ; ga, Éire ; Ulster Scots dialect, Ulster-Scots: ) is an island in the Atlantic Ocean, North Atlantic Ocean, in Northwestern Europe, north-western Europe. It is separated from Great Britain to its east by the North Channel (Grea ...
. He studied medicine at
Queen's University Belfast , mottoeng = For so much, what shall we give back? , top_free_label = , top_free = , top_free_label1 = , top_free1 = , top_free_label2 = , top_free2 = , established = , closed = , type = Public research university , parent = ...
, and in 1922 he emigrated to the United States and subsequently worked as a pathologist at the
Mayo Clinic The Mayo Clinic () is a nonprofit American academic medical center focused on integrated health care, education, and research. It employs over 4,500 physicians and scientists, along with another 58,400 administrative and allied health staff, ...
in
Rochester, Minnesota Rochester is a city in the U.S. state of Minnesota and the county seat of Olmsted County. Located on rolling bluffs on the Zumbro River's south fork in Southeast Minnesota, the city is the home and birthplace of the renowned Mayo Clinic. Acco ...
. Kernohan retired from active medical practice in 1962 and died May 5, 1981. Kernohan is remembered for his work in
neuropathology Neuropathology is the study of disease of nervous system tissue, usually in the form of either small surgical biopsies or whole-body autopsies. Neuropathologists usually work in a department of anatomic pathology, but work closely with the clinic ...
, particularly research of
spinal cord The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spi ...
tumors, brain abscesses and
metastatic Metastasis is a pathogenic agent's spread from an initial or primary site to a different or secondary site within the host's body; the term is typically used when referring to metastasis by a cancerous tumor. The newly pathological sites, then, ...
brain lesions. He is credited with developing a widely used classification system for
brain tumor A brain tumor occurs when abnormal cells form within the brain. There are two main types of tumors: malignant tumors and benign (non-cancerous) tumors. These can be further classified as primary tumors, which start within the brain, and seconda ...
s. The eponymous ''
Kernohan's notch Kernohan's notch is a cerebral peduncle indentation associated with some forms of transtentorial herniation (uncal herniation). It is a secondary condition caused by a primary injury on the ''opposite'' hemisphere of the brain.#refWolf, Wolf et al, ...
'' is named after him, which is a groove in the
cerebral peduncle The cerebral peduncles are the two stalks that attach the cerebrum to the brainstem. They are structures at the front of the midbrain which arise from the ventral pons and contain the large ascending (sensory) and descending (motor) nerve tra ...
caused by displacement of the
brainstem The brainstem (or brain stem) is the posterior stalk-like part of the brain that connects the cerebrum with the spinal cord. In the human brain the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is cont ...
against the incisura of the
tentorium cerebelli The cerebellar tentorium or tentorium cerebelli (Latin for "tent of the cerebellum") is an extension of the dura mater that separates the cerebellum from the inferior portion of the occipital lobes. Structure The cerebellar tentorium is an arche ...
in some cases of transtentorial herniation. In 1952 he published an atlas of tumor pathology titled ''Tumors of the Central Nervous System'', and with Mayo
neurosurgeon Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and peri ...
Alfred Uihlein (1908–1990) he published ''Sarcomas of the Brain''.


References


European Neurology; Kernohan's Notch J.M.S.Pearce
* 1930 United States Census, Rochester, Olmsted County, Minnesota. * Minnesota Death Index, 1908-2002, Certificate No. 012459, Record No. 2044236. {{DEFAULTSORT:Kernohan, James Watson 1896 births 1981 deaths American pathologists Irish emigrants to the United States (before 1923)