Answer for BIR CoW 06 Sep 2020
Crossed cerebellar diaschiasis in status epilepticus
Findings
Diffusion restriction noted inthe left cerebellar hemipshere and right fronto parietal cortex subtle T2 flair hyperintense noted in the left cerebellar hemipshere and right fronto parietal cortex
Discussion
Post ictal edema ( post seizure changes ) noted in the right fronto parietal cortex (Diffusion restriction) Diffusion restriction changes in the left cerebellar hemisphere are due to crossed cerebellar diaschisis In status epilepticus the excessive excitatory input from supratentorial epileptiform focus leads to the functional deactivation of the contralateral cerebellar hemisphere through the corticopontocerebellar pathway
Findings
Diffusion restriction noted inthe left cerebellar hemipshere and right fronto parietal cortex subtle T2 flair hyperintense noted in the left cerebellar hemipshere and right fronto parietal cortex
Discussion
Post ictal edema ( post seizure changes ) noted in the right fronto parietal cortex (Diffusion restriction) Diffusion restriction changes in the left cerebellar hemisphere are due to crossed cerebellar diaschisis In status epilepticus the excessive excitatory input from supratentorial epileptiform focus leads to the functional deactivation of the contralateral cerebellar hemisphere through the corticopontocerebellar pathway
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!