Abstract
Remote cerebral hypoperfusion associated with pontine lesions is rare. We describe a patient who showed transient ipsilateral hypoperfusion in the thalamus and cerebral cortex after a pontine infarct. This resolved within 8 days after onset. Anatomical considerations strongly suggested involvement of the cerebellothalamocortical pathway in this case.
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Lenzi GL, Frackowiak RSJ, Jones T (1982) Cerebral oxygen metabolism and blood flow in human cerebral ischemic infarction. J Cereb Blood Flow Metab 2:321–339
Celesia GC, Polcyn RE, Holden JE, Nickles RJ, Koeppe RA, Gatley SJ (1984) Determination of regional cerebral blood flow in patients with cerebral infarction. Arch Neurol 41:262–267
Feeney DM, Baron JC (1986) Diaschisis. Stroke 17:817–830
Baron JC, Bousser MG, Comar D, Castaigne P (1980) ‘Crossed cerebellar diaschisis’ in human supratentorial brain infarction. Trans Am Neurol Assoc 8:120–135
Pantano P, Baron JC, Samson Y, Bousser MG, Derouesne C, Comar D (1986) Crossed cerebellar diaschisis. Further studies. Brain 109:677–694
Baron JC, DÁntona R, Pantano P, Serdaru M, Samson Y, Bousser MG (1986) Effects of thalamic stroke on energy metabolism of the cerebral cortex. Brain 109:1243–1259
Pappata S, Mazoyer B, Dinh ST, Cambon H, Levasseur M, Baron JC (1990) Effects of capsular or thalamic stroke on metabolism in the cortex and cerebellum: a positron tomography study. Stroke 21:519–524
Perani D, Di Piero V, Lucignani G, Gilardi MC, Pantano P, Rossetti C, Pozzilli C, Gerundini P, Fazio F, Lenzi GL (1988) Remote effects of subcortical cerebrovascular lesions: a SPECT cerebral perfusion study. J Cereb Blood Flow Metab 8:560–567
Lagrèze HL, Levine RL, Pedula KL, Nickles RJ, Sunderland JS, Rowe BR (1987) Contralateral flow reduction in unilateral stroke: evidence for transhemispheric diaschisis. Stroke 18:882–886
Botez MI, Leveille J, Lambert R, Botez T (1991) Single photon emission computed tomography (SPECT) in cerebellar disease: cerebello-cerebral diaschisis. Eur Neurol 31:405–412
Rousseaux M, Steinling M (1992) Crossed hemispheric diaschisis in unilateral cerebellar lesions. Stroke 23:511–514
Fazekas F, Payer F, Valetitsch H, Schmidt R, Flooh E (1993) Brain stem infarction and diaschisis. A SPECT cerebral perfusion study. Stroke 24:1162–1166
Snider RS, Maiti A, Snider SR (1986) Cerebellar pathways to ventral midbrain and nigra. Exp Neurol 53:714–728
Savaki HE, Graham OI, Grome J, McCulloch J (1984) Functional consequence of unilateral lesion of loculus caeruleus: a quantitative14/C 2-deoxyglucose investigation. Brain Res 292: 239–249
Schwartz WJ (1978) A role for the dopaminergic nigrostriatal bundle in the pathogenesis of altered brain glucose consumption after lateral hypothalamic lesion. Evidence using14C-labeled deoxyglucose technique. Brain Res 158:129–247
Allen GI, Tsukahara N (1974) Cerebrocerebellar communication system. Physiol Rev 59:957–1006
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Kuroda, S., Houkin, K., Abe, H. et al. Transient ipsilateral blood flow reduction in the thalamus and cerebral cortex after pontine infarction. Neuroradiology 38, 239–242 (1996). https://doi.org/10.1007/BF00596537
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DOI: https://doi.org/10.1007/BF00596537