Cerebellar diaschisis and contralateral thalamus hyperperfusion in a stroke patient with complex regional pain syndrome

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Min-Hsin LaiShin-Tsu Chang

Abstract

We present a right-hemispheric stroke patient with complex regional pain syndrome (CRPS). The regional cerebral blow flow (rCBF) as determined using single photon emission computed tomography (SPECT) showed contralateral increase of tracer uptake in the left thalamus accompanied by crossed cerebellar diaschisis (CCD) in the left cerebellum. After rehabilitation, the CRPS in the right upper extremity recovered, although hemiplegia persisted on the left limbs. The rCBF determined a second time using SPECT showed that uptake was normal in the bilateral thalami, basal ganglia and bilateral cerebella. At a 6-month follow-up, the CRPS had not recurred. Our findings show that analysis of rCBF by SPECT is useful for the clinical evaluation and follow-up of CRPS. To the best of our knowledge, this is the first reported case with this particular pattern of symptoms amd symptom resolution.

References

May 29, 2002·Proceedings of the National Academy of Sciences of the United States of America·Lorenz Gold, Martin Lauritzen
May 14, 2005·Clinical Nuclear Medicine·Charles M IntenzoDavid M Capuzzi
Feb 7, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Mitsuhiro Yoshita, Masahito Yamada

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Citations

Jun 15, 2011·Current Diabetes Reports·Dinesh SelvarajahSolomon Tesfaye
Mar 6, 2012·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Tadeu A FantaneanuAlan Guberman
Nov 24, 2011·Seminars in Ultrasound, CT, and MR·Falgun H ChokshiThierry A G M Huisman
May 18, 2010·Pediatric Neurology·Ruth L O'GormanJozef M Jarosz
Jul 26, 2011·Acta Neurologica Scandinavica·G SzilágyiB Gulyás

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