PMID: 9161380May 1, 1997Paper

Cerebral diaschisis following cerebellar hemorrhage

Archives of Physical Medicine and Rehabilitation
H S HausenW Nagler

Abstract

In 1914, Von Monakow described diaschisis, the recovery of lost cortical function in regions positionally distant from, but linked by neuronal tracts to, the primary site of cortical damage. Cerebellar diaschisis after cortical insult is detailed in the literature; however, cortical diaschisis after cerebellar insult remains a rarely reported occurrence. We describe a 36-year-old woman with rupture of a right-sided cerebellar arteriovenous malformation who developed such expected cerebellar signs as ataxia, dysmetria, and nystagmus. Days later, the patient developed profound impulsivity, disinhibition, and psychomotor agitation. Single photon emission computed tomography (SPECT) showed decreased perfusion of the bilateral frontal and temporal lobes, consistent with regional loss of neural activity. Eventual clinical improvement corresponded with reperfusion of those regions, identified on follow-up SPECT. This case documents cortical diaschisis following cerebellar insult and shows that diaschisis must be considered in patients with cerebral injury manifesting cortical deficits remote from the site of primary pathology.

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Citations

Oct 14, 2005·The Journal of Head Trauma Rehabilitation·Donald G Stein, Stuart W Hoffman
Jun 11, 2010·Cognitive and Behavioral Neurology : Official Journal of the Society for Behavioral and Cognitive Neurology·Edward C LauterbachWilliam F Bina
Apr 15, 2010·Pediatric Research·Catherine LimperopoulosAdré J Du Plessis
Feb 16, 2011·Clinical Rehabilitation·Jon Marsden, Chris Harris
Sep 30, 2017·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Alfredo ArdilaMonica Rosselli
Apr 2, 2010·The Journal of Orthopaedic and Sports Physical Therapy·David S LogerstedtUNKNOWN Orthopaedic Section of the American Physical Therapist Association
Sep 16, 2019·The Cerebellum·Georgios P D ArgyropoulosJeremy D Schmahmann
Jun 11, 2021·The Cerebellum·Amanda Chirino-PérezJuan Fernandez-Ruiz
Oct 4, 2005·Pediatrics·Catherine LimperopoulosAdré J du Plessis

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