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15 January 2024: Articles

Crossed Cerebellar Diaschisis in a Status Epilepticus Patient with Stroke-Mimicking Changes: A Case Report with Suboptimal Outcome

Challenging differential diagnosis, Rare disease

Arturs Balodis A* , Tatjana Rzajeva B , Verners Roberts Kalējs B , Toms Mārtiņš Smilga A , Marta Pūpola B

DOI: 10.12659/AJCR.942715

Am J Case Rep 2024; 25:e942715

Figure 3. First axial magnetic resonance image. (A) FLAIR-weighted and (B) T2-weighted showing vasogenic edema throughout the left cerebral hemisphere including the temporal, occipital lobes, thalamus and hippocampus. On the right side an older deep periictal lesion with atrophy from a previous seizure. (C) Diffusion-weighted apparent diffusion coefficient (ADC) and (D) diffusion weighted imaging (DWI) showing a decrease in ADC value and increased DWI signal throughout the left cerebral hemisphere and a slightly increased ADC value in the right cerebral hemisphere. As well as (E) T2-weighted and (F) FLAIR-weighted of cerebellum showing a small area of vasogenic edema in the right cerebellum, cortically affecting the amygdala as well, on the opposite side of the cerebral lesion – a crossed cerebellar diaschisis.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923