Ataxic hemiparesis from strategic frontal white matter infarction with crossed cerebellar diaschisis

Alexander C. Flint, Mary Alice C. Naley, Clinton B. Wright

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Background - Ataxic hemiparesis is a classic lacunar syndrome that most often localizes to the pons. Results - We report 3 patients who presented with left-sided ataxic hemiparesis and were found on imaging to have small right frontal subcortical white matter infarcts in similar locations by diffusion-weighted MRI. [99mTc]hexamethylpropylenamine oxime single-photon emission computed tomography (SPECT) scans in all 3 patients showed decreased metabolism in the contralateral cerebellar hemisphere, indicative of crossed cerebellar diaschisis (CCD). Conclusion - CCD is under-recognized in ataxic hemiparesis and may have implications for functional recovery after this type of ischemic stroke.

Original languageEnglish (US)
Pages (from-to)e1-e2
JournalStroke
Volume37
Issue number1
DOIs
StatePublished - Jan 2006

Keywords

  • Ataxia
  • Lacunar infarction
  • Magnetic resonance imaging
  • Stroke
  • Tomography, emission computed

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

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