RT Journal Article SR Electronic T1 Prominent Matched Hypoperfusion in an Intact Cerebellum after a Solitary Middle Cerebellar Peduncle Infarct JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1356 OP 1358 VO 23 IS 8 A1 Takasawa, Masashi A1 Kitagawa, Kazuo A1 Ohtsuki, Toshiho A1 Oku, Naohiko A1 Hashikawa, Kazuo A1 Sakoda, Saburo A1 Hori, Masatsugu A1 Matsumoto, Masayasu YR 2002 UL http://www.ajnr.org/content/23/8/1356.abstract 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.