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

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

• Diaschisis
• Status epilepticus
• Cerebellum