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Crossed cerebellar diaschisis

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

History of old brain injury (gunshot), presented with ataxia, gait disturbance.

Patient Data

Age: 30 years
Gender: Female
mri

Right parietal encephalomalacia and area of gliosis, subsequently with resultant traction and ex vacuo dilatation of right lateral ventricle.

Atrophy of left cerebellar hemisphere, with thinning of left middle cerebellar peduncle.

Case Discussion

Left cerebellar atrophy, possibly related to crossed cerebellar diaschisis, secondary to contralateral right supratentorial injury.

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