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Infarction of the red nucleus and crossed cerebellar diaschisis

Lefebvre, V.; Josien, E.; Pasquier, F.; Steinling, M.; Petit, H.

Revue Neurologique (Paris) 149(4): 294-296

1993

ISSN/ISBN: 0035-3787
PMID: 8235230
Document Number: 413084
We report a case of rubral infarct involving adjacent ipsilateral thalamic structures in a 54-year-old man with hypertension and coronary heart disease. Clinical picture at onset was suggestive of Weber's syndrome leading to a Claude's syndrome with vertical gaze palsy and sleep disturbances. Single photon emission computed tomography using Hm-PaO-Tc revealed a crossed cerebellar diaschisis. This is, to our knowledge, the first case of such crossed cerebellar diaschisis in a patient with rubral infarction.

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