Crossed cerebellar diaschisis is a phenomena described as decrease in metabolism in the cerebellar hemisphere contralateral to the supratentorial lesion. A 61 year old man presented with status epilepticus. CT Brain showed small acute hemorrhage in left parietal lobe.MRI revealed diffusion restriction in right cerebral and left cerebellar hemispheres with hyperintensities on T2WI and FLAIR. However, CT perfusion was suggestive of increased perfusion in these areas. Periictal EEG showed frequent bursts of higher voltage spike and wave discharges over the right hemisphere. He was treated with IV antiepileptics. But he continued to deteriorate, and expired at 10th day of admission.
Aieshah Kazi, Sahrish; Aniqah Jawad, Rehmani; Nazir, Rashed; Ahmed Shah, Shahid; and Ahmad, Arsalan
"crossed cerebellar diaschisis in partial status epilepticus,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 9
, Article 6.
Available at: http://ecommons.aku.edu/pjns/vol9/iss1/6