Crossed cerebellar diaschisis in the setting of a convulsive status epilepticus: a rare clinical and radiological entity

Rachid Belfkih; Omar Ghomari Khayat; Abdellatif Berkaoui; Hicham Fadel

doi:10.1016/j.radcr.2021.06.092

Crossed cerebellar diaschisis in the setting of a convulsive status epilepticus: a rare clinical and radiological entity

Radiol Case Rep. 2021 Aug 1;16(10):2913-2915. doi: 10.1016/j.radcr.2021.06.092. eCollection 2021 Oct.

Authors

Rachid Belfkih^{1

2}, Omar Ghomari Khayat^{1

2}, Abdellatif Berkaoui^{1

2}, Hicham Fadel³

Affiliations

¹ Abdelmalek Saadi University, Faculty of medicine and pharmacy of Tangier, Tangier, Morocco.
² Department of neurology, University Hospital Center of Tangier-Tetouan-Al hoceima, Tangier, Morocco.
³ Department of neurology at Kortobi Hospital, Tangier, Morocco.

Abstract

Crossed cerebellar diaschisis is a rare clinical entity of hemispheric cerebellar depression subsequent to a contralateral cerebral cortical lesion, described to be the result of excessive neuronal excitatory synaptic activity within cortico-cerebellar pathways. This event is generally observed in ischemic stroke cases, and only occasionally, it has been described in epileptic seizure disorders. In this report, we present the case of a patient admitted for status epilepticus with residual motor and visual deficit, with reduced diffusion at DWI. The clinical evolution of her case was distinguished by a full recovery of her deficits along with the disappearance of the MRI abnormalities.

Keywords: Cerebellum; Diaschisis; Status epilepticus.

Publication types

Case Reports