Crossed cerebellar diaschisis: a radiological finding in status epilepticus not to miss

Syed Amir Zaidi, Mian Ayaz ul Haq, Dorothea Bindman, Sachin Mathur

BMJ Case Reports · 2013 · 16 citations · 3 references

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Abstract

A 43-year-old man was admitted to the intensive treatment unit with refractory status epilepticus. He was treated with intravenous benzodiazepines, phenytoin and levetiracetam. His EEG was consistent with status epilepticus. MRI of the brain showed a high signal change in T2-weighted images (not suppressed on fluid-attenuated inversion recovery (FLAIR)) in the right frontal lobe with inferior extension to the cingulate gyrus. Similar changes were also noted in the superior aspect of the left cerebellar hemisphere (figure 1). Diffusion-weighted images (DWI) showed gyral restriction of diffusion in the right frontal lobe and …

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