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Neurorehabilitation and Neural Repair
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Anatomic and Functional Changes Associated with Crossed Cerebellar Diaschisis in Chronic Brain Injured Subjects

Scott Perlman

University of Wisconsin Hospital and Clinics, Department of Radiology, 600 Highland Avenue, Madison, WI 53792, William S. Middleton Memorial Veteran's Hospital, 2500 Overlook Terrace, Madison, WI 53705

Katharine Blood

Department of Rehabilitation Medicine, University of Wisconsin, Hospital and Clinics

Joseph Sackett

University of Wisconsin Hospital and Clinics, Department of Radiology, 600 Highland Avenue, Madison, WI 53792, William S. Middleton Memorial Veteran's Hospital, 2500 Overlook Terrace, Madison, WI 53705

Richard Balliet

Department of Rehabilitation Medicine, University of Wisconsin, Hospital and Clinics

JoAnne Lazarus

University of Wisconsin Department of Physical Education and Dance

Michael Wilson

University of Wisconsin Hospital and Clinics, Department of Radiology, 600 Highland Avenue, Madison, WI 53792, William S. Middleton Memorial Veteran's Hospital, 2500 Overlook Terrace, Madison, WI 53705

John Sunderland

University of Wisconsin Department of Medical Physics

Robert Nickles

University of Wisconsin Department of Medical Physics

The anatomic and functional changes associated with crossed cerebellar diaschisis (CCD) were examined in chronic brain injured patients to determine if there is evidence that injury to a neuroanatomic tract, such as the corticopontocerebellar tract, could explain the cerebellar diaschisis, and to determine if arm movements would effect the CCD. Four brain injured patients and four normal subjects had MR scans and PET scans using fluorodeoxyglucose. The PET scans were obtained during rest and during left and right arm motor tasks. The PET scans were repeated after six months to determine the reproducibility of the scan findings.

Forty-one PET scans were analyzed. Significant crossed cerebellar diaschisis was present in all fourbrain injured patients. One control patient had crossed cerebellar diaschisis, but the cerebellar asymmetry was more subtle than noted in the brain injured patients. MR scans demonstrated atrophy of the cerebral peduncle ipsilateral to the major cerebral cortical injury. One patient had bilateral cerebral cortical and cerebral peduncle atrophy. These findings support the hypothesis that injury to the corticopontocerebellar tract may, in part, be responsible for crossed cerebellar diaschisis in chronic brain injured subjects. Key Words: Brain, injuries—Brain, radionuclide studies—Emission CT—Diaschisis—Degeneration, Wallerian.

Neurorehabilitation and Neural Repair, Vol. 5, No. 4, 219-227 (1991)
DOI: 10.1177/136140969100500404


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