Crossed cerebellar diaschisis in a patient with Dyke-Davidoff-Masson syndrome

Case contributed by Ammar Haouimi , 13 Dec 2023
Diagnosis almost certain
Changed by Bahman Rasuli, 15 Dec 2023
Disclosures - updated 9 Nov 2023: Nothing to disclose

Updates to Case Attributes

Body was changed:

MRI features of right cerebellar atrophy are most likely due to crossed cerebellar diaschisis secondary to contralateral left supratentorial cerebral infarction in childhood (Dyke-Davidoff-Masson syndrome).

Crossed cerebellar diaschisisrefers to a depression in function, metabolism, and perfusion affecting a cerebellar hemisphere occurring as a result of a contralateral focal supratentorial lesion (usually an infarct).  The mechanism is thought to be an interruption of cortico-ponto-cerebellar white matter tracts, which then results in deafferentationdifferentiation and hypometabolism of the contralateral cerebellar hemisphere.

  • -<p>MRI features of right cerebellar atrophy most likely due to <a href="/articles/crossed-cerebellar-diaschisis" title="Crossed cerebellar diaschisis">crossed cerebellar diaschisis</a> secondary to contralateral left supratentorial cerebral infarction in childhood (<a href="/articles/dyke-davidoff-masson-syndrome" title="Dyke-Davidoff-Masson syndrome">Dyke-Davidoff-Masson syndrome</a>).</p><p>Crossed cerebellar diaschisis<strong> </strong>refers to a depression in function, metabolism, and perfusion affecting a <a href="/articles/cerebellum">cerebellar hemisphere</a> occurring as a result of a contralateral focal supratentorial lesion (usually an infarct). &nbsp;The mechanism is thought to be an interruption of cortico-ponto-cerebellar white matter tracts, which then results in deafferentation and hypometabolism of the contralateral cerebellar hemisphere.</p>
  • +<p>MRI features of right cerebellar atrophy are most likely due to <a href="/articles/crossed-cerebellar-diaschisis" title="Crossed cerebellar diaschisis">crossed cerebellar diaschisis</a> secondary to contralateral left supratentorial cerebral infarction in childhood (<a href="/articles/dyke-davidoff-masson-syndrome" title="Dyke-Davidoff-Masson syndrome">Dyke-Davidoff-Masson syndrome</a>).</p><p>Crossed cerebellar diaschisis<strong> </strong>refers to a depression in function, metabolism, and perfusion affecting a <a href="/articles/cerebellum">cerebellar hemisphere</a> occurring as a result of a contralateral focal supratentorial lesion (usually an infarct). &nbsp;The mechanism is thought to be an interruption of cortico-ponto-cerebellar white matter tracts, which then results in differentiation and hypometabolism of the contralateral cerebellar hemisphere.</p>

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