Two Cases of Crossed Cerebellar Diaschisis with or without Thalamic Lesion on Brain MRI in Status Epilepticus

Hee Seung Ahn; Kwang Ki Kim

doi:10.14581/jer.14015

Two Cases of Crossed Cerebellar Diaschisis with or without Thalamic Lesion on Brain MRI in Status Epilepticus

J Epilepsy Res. 2014 Dec 31;4(2):74-7. doi: 10.14581/jer.14015. eCollection 2014 Dec.

Authors

Hee Seung Ahn¹, Kwang Ki Kim¹

Affiliation

¹ Department of Neurology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.

Abstract

We report two cases of status epilepticus who showed crossed cerebellar diaschisis (CCD) with or without pulvinar high signal intensity (HSI) on brain magnetic resonance imaging (MRI). The first patient had CCD with pulvinar HSI on MRI and periodic lateralized epileptiform discharges (PLEDs) on electroencephalography. MRI of the second patient revealed CCD without pulvinar HSI. And electroencephalography (EEG) of this patient did not show PLEDs. The authors suggest that the pulvinar lesion might be related to the generation of PLEDs in Status epilepticus.

Keywords: Crossed cerebellar diaschisis; Periodic lateralized epileptiform discharges; Pulvinar; Status epilepticus.

Publication types

Case Reports