Prognostic and Mechanistic Factors Characterizing Seizure-Associated Crossed Cerebellar Diaschisis

详细信息    查看全文

• 作者：Christopher S. Graffeo ; Kendall A. Snyder ; Deena M. Nasr…
• 关键词：Status epilepticus ; Excitotoxic injury ; Hyperactivation ; Deafferentation
• 刊名：Neurocritical Care
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：24
• 期：2
• 页码：258-263
• 全文大小：2,914 KB
• 参考文献：1.Baheti NN, Bansal AR, Rathore C, et al. Teaching NeuroImages: diaschisis: is it always reversible? Neurology. 2009;72:e79.CrossRef PubMed
  2.Baron JC, Bousser MG, Comar D, Castaigne P. “Crossed cerebellar diaschisis” in human supratentorial infarction. Ann Neurol. 1980;8:128.
  3.Chen JW, Naylor DE, Wasterlain CG. Advances in the pathophysiology of status epilepticus. Acta Neurol Scand Suppl. 2007;186:7–15.CrossRef PubMed
  4.Cole AJ. Status epilepticus and periictal imaging. Epilepsia. 2004;45(Suppl 4):72–7.CrossRef PubMed
  5.Feeney DM, Baron JC. Diaschisis. Stroke. 1986;17:817–30.CrossRef PubMed
  6.Johansen-Berg H, Behrens TEJ. Just pretty pictures? What diffusion tractography can add in clinical neuroscience. Curr Opin Neurol. 2006;19:379–85.CrossRef PubMed PubMedCentral
  7.Kato T, Okumura A, Hayakawa F, et al. Transient reduced diffusion in the cortex in a child with prolonged febrile seizures. Brain Dev. 2012;34:773–5.CrossRef PubMed
  8.Kim J, Lee SK, Lee JD, et al. Decreased fractional anisotropy of middle cerebellar peduncle in crossed cerebellar diaschisis: diffusion-tensor imaging-positron-emission tomography correlation study. AJNR Am J Neuroradiol. 2005;26:2224–8.PubMed
  9.Lansberg MG, O’Brien MW, Norbash AM, et al. MRI abnormalities associated with partial status epilepticus. Neurology. 1999;52:1021–7.CrossRef PubMed
  10.Massaro AM. Teaching neuroimages: crossed cerebellar diaschisis in hemispheric status epilepticus. Neurology. 2012;79:e182.CrossRef PubMed
  11.Monakow CV. Die lokalisation im grosshirn und der abbau der funktion durch kortikale herde. Wiesbaden: J. F. Bergmann; 1914.
  12.Samaniego EA, Stuckert E, Fischbein N, et al. Crossed cerebellar diaschisis in status epilepticus. Neurocrit Care. 2010;12:88–90.CrossRef PubMed
  13.Tien RD, Ashdown BC. Crossed cerebellar diaschisis and crossed cerebellar atrophy: correlation of MR findings, clinical symptoms, and supratentorial diseases in 26 patients. AJR Am J Roentgenol. 1992;158:1155–9.CrossRef PubMed
  14.Warach S, Levin JM, Schomer DL, et al. Hyperperfusion of ictal seizure focus demonstrated by MR perfusion imaging. AJNR Am J Neuroradiol. 1994;15:965–8.PubMed
  15.Wasterlain CG, Fujikawa DG, Penix L, et al. Pathophysiological mechanisms of brain damage from status epilepticus. Epilepsia. 1993;34(Suppl 1):S37–53.CrossRef PubMed
  
• 作者单位：Christopher S. Graffeo (1)
  Kendall A. Snyder (1)
  Deena M. Nasr (2)
  Meghan E. Murphy (1)
  Carrie M. Carr (3)
  Sara E. Hocker (2)
  
  1. Department of Neurologic Surgery, Mayo Clinic, 200 First St SE, Rochester, MN, 55905, USA
  2. Department of Neurology, Mayo Clinic, Rochester, MN, USA
  3. Department of Radiology, Mayo Clinic, Rochester, MN, USA
  
• 刊物主题：Internal Medicine; Neurology;
• 出版者：Springer US
• ISSN：1556-0961

文摘

Background Crossed cerebellar diaschisis is a rare finding of hemispheric cerebellar depression following contralateral cerebral injury, hypothesized to result from excessive neuronal excitatory synaptic activity along cortico-pontine-cerebellar pathways. The phenomenon is typically observed following ischemic stroke, but has also been characterized during seizure activity—in particular, status epilepticus (SE). Neurological outcome has varied widely in published reports, with some patients achieving full neurologic recovery, while others experience persistent disability.