PT - JOURNAL ARTICLE AU - Takasawa, Masashi AU - Kitagawa, Kazuo AU - Ohtsuki, Toshiho AU - Oku, Naohiko AU - Hashikawa, Kazuo AU - Sakoda, Saburo AU - Hori, Masatsugu AU - Matsumoto, Masayasu TI - Prominent Matched Hypoperfusion in an Intact Cerebellum after a Solitary Middle Cerebellar Peduncle Infarct DP - 2002 Sep 01 TA - American Journal of Neuroradiology PG - 1356--1358 VI - 23 IP - 8 4099 - http://www.ajnr.org/content/23/8/1356.short 4100 - http://www.ajnr.org/content/23/8/1356.full SO - Am. J. Neuroradiol.2002 Sep 01; 23 AB - Summary: We examined the cerebellar metabolism of a 61-year-old man with a small infarct in the left middle cerebellar peduncle and an intact cerebellum. Positron emission tomographic images obtained 28 days after onset showed prominent hypoperfusion and hypometabolism (almost 50% below the normal level) in the left cerebellar hemisphere. This case report shows that neural deafferentation may cause prominent hypometabolism without morphologic changes in the cerebellum. An arrest in synaptic activity may be the most important factor for the adaptive decrease in oxygen metabolism seen in ischemic brain.