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Research ArticleBRAIN

Prognostic Value of Subacute Crossed Cerebellar Diaschisis: Single-Photon Emission CT Study in Patients with Middle Cerebral Artery Territory Infarct

Masashi Takasawa, Manabu Watanabe, Shiro Yamamoto, Taku Hoshi, Tsutomu Sasaki, Kazuo Hashikawa, Masayasu Matsumoto and Naokazu Kinoshita
American Journal of Neuroradiology February 2002, 23 (2) 189-193;
Masashi Takasawa
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Manabu Watanabe
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Shiro Yamamoto
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Taku Hoshi
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Tsutomu Sasaki
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Kazuo Hashikawa
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Masayasu Matsumoto
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Naokazu Kinoshita
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    Fig 1.

    ROIs on a SPECT image of the cerebellum.

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    Fig 2.

    SPECT images obtained in patient 1 show severe cerebellar hypoperfusion (arrows) in both the acute (top row) and subacute (middle row) stages. This patient had SSS scores of 13 at admission and 38 at 60 days after onset. MR images (bottom row) obtained at 32 days show a large infarct in the left hemisphere.

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    Fig 3.

    SPECT images obtained in patient 13 show cerebellar hypoperfusion (arrows) in both the acute (top row) and subacute (middle row) stages. This patient had SSS scores of 22 at admission and 55 at 60 days after onset. MR images (bottom row) obtained at 58 days show an infarct in the right basal ganglia and frontal lobe.

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    Fig 4.

    Relationships between the AI in the subacute stage and neurologic state. No significant (N.S.) correlations between the AI in the subacute stage and SSS score at admission were found (top left). AI in the subacute stage was significantly associated with the final SSS score at 60 days (top right), the final BI score at 60 days (bottom left), and the RI (bottom right), as the results of the nonparametric Spearman rank test indicate.

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    TABLE 1:

    Clinical characteristics and cerebellar AI

    Patient No./Age (y)/SexMCA SideInfarctAISSSRIBI at 60 Days
    Mechanism*Topography†AcuteAt 60 Days
    1/78/FLEF, T, P, d13.6133855.563
    2/72/MLEF, T, P13.3163726.254
    3/60/MREF, T, P11.9244150.048
    4/64/MLEF, T, P, d10.6186132.542
    5/81/MLAT, P10.0206539.543
    6/67/FLEF, T, P10.0166726.271
    7/88/MREF, T, P9.6334340.066
    8/75/MREP9.532347.755
    9/77/MLEF, d7.3245488.287
    10/59/FREd5.93658100100
    11/81/MLAP, d5.795491.886
    12/81/MLET, d5.5125810090
    13/67/FREF, d4.4225591.795
    14/72/MLAP, d2.184472.095
    15/82/MLEd1.2285486.795
    • * A indicates atherothrombotic; E, embolic.

    • † d indicates deep MCA territory; F, frontal; P, parietal; T, temporal.

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American Journal of Neuroradiology: 23 (2)
American Journal of Neuroradiology
Vol. 23, Issue 2
1 Feb 2002
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Cite this article
Masashi Takasawa, Manabu Watanabe, Shiro Yamamoto, Taku Hoshi, Tsutomu Sasaki, Kazuo Hashikawa, Masayasu Matsumoto, Naokazu Kinoshita
Prognostic Value of Subacute Crossed Cerebellar Diaschisis: Single-Photon Emission CT Study in Patients with Middle Cerebral Artery Territory Infarct
American Journal of Neuroradiology Feb 2002, 23 (2) 189-193;

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Prognostic Value of Subacute Crossed Cerebellar Diaschisis: Single-Photon Emission CT Study in Patients with Middle Cerebral Artery Territory Infarct
Masashi Takasawa, Manabu Watanabe, Shiro Yamamoto, Taku Hoshi, Tsutomu Sasaki, Kazuo Hashikawa, Masayasu Matsumoto, Naokazu Kinoshita
American Journal of Neuroradiology Feb 2002, 23 (2) 189-193;
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