Summary
Three cases of crossed cerebellar diaschisis (CCD) in hydrocephalus were studied by single photon emission CT (SPECT) using I-iodoamphetamine (I-123-IMP). In all patients CCD disappeared as a result of effective shunt operations. Abnormal neurological findings were completely normalized in two patients and moderately normalized in the other. One of the three patients had transient brain dystfunction induced in the postoperative course of subarachnoid hemorrhage and the other two patients had local parietal lobe brain damage observed on plain computed tomography (CT). CCD in hydrocephalus has not been reported on so far. As for the mechanism of CCD in these three cases, we speculate that the change of brain tissue pressure resulting from brain damage may cause abnormal extension of hydrostatic edema, resulting in transneural metabolic depression of the cortico-pontocerebellar pathway. It is suggested that neural function is variable in hydrocephalus with brain damage.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Allen GI, Tsukahara N (1974) Cerebrocerebellar communication systems. Physiol Rev 54: 957–1006
Baron JC, Bousser MG, Comar D, Duquesnoy N, Sastre J, Castaigne P (1981) “Crossed Cerebellar Diaschisis” a remote functional depression secondary to supratentorial infarction of man. J Cereb Blood Flow Metab 1(Suppl 1): S500–501
Brodai A (1969) Neurological anatomy in relation to clinical medicine. Oxford University Press, New York
Brodai A (1978) The corticopontine projection in the rhesus monkey. Origin and principles of organization. Brain 101: 251–283
George I Chovanes, James P McAllister II, Albert A Lamperti, Arnold G Salott, Raymond C Truex (1988) Monoamine alterations during experimental hydrocephalus in neonatal rats. Neurosurgery 22: 86–91
Glickstein M, May JG, Mericier BE (1985) Corticopontine projection in the macaque; the distribution of labelled cortical cells after large injections of horseradish peroxidase in the pontine nuclei. J Comp Neurol 235: 343–359
Hakim S, Adams RD (1965) The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics. J Neurol Sci 2: 307–327
Nariyuki H, Takashi T, Yasuhide M, Isao K, Tatsuo K (1987) Alteration of cerebral energy metabolism and cytoskeletal protein with intra parenchymal routed CSF migration in the hydrocephalus. Nerv Syst Child 12(1): 11–17
Kanaya H, Endo H, Sugiyama T, et al. (1983) “Crossed Cerebellar Diaschisis” in patients with putaminal hemorrhage. J Cereb Blood Flow Metab 3(Suppl 1): S27
Kempinsky WH (1958) Experimental study of distal effects of acute focal injury. Arch Neurol Psychiatr 79: 376–389
Kushner M, Alavi A, Reivich M, et al. (1984) Contralateral cerebellar hypometabolism following cerebral insult: A positron emission tomographic study. Ann Neurol 15: 425–434
Marmarou A, Shapiro K, Poll W, Shulman K (1976) Studies of kinetics of fluid movement within brain tissue. In: Beks JWF, Bosch DA, Brock M (eds) Intracranial pressure III. Springer, Berlin Heidelberg New York, pp 1–4
Osamu S (1986) Changes in concept: mechanism of genesis in hydrocephalus. Nerv Syst Child 11(2): 77–83
Sasaki K, Oka H, Kawaguchi S, Jinnnai K, Yasuda T (1977) Mossy fibre and climbing fibre responses produced in the cerebellar cortex by stimulation of the cortex in monkeys. Exp Brain Res 29: 419–428
Toshimatsu M, Noboru K, Junichi N, Kikuo M, Toru O, Kazuhiro T, Toru M, Eiju W, Masahiro I (1986) N-Isoproyl I-123p-iodoamphetamine (I-123IMP) SPECT-crossed cerebellar diaschisis. Jpn J Nucl Med 23(1): 25–34
Von Monakow C (1969) Diaschisis (1914 article translated by G. Harris). Pribram KH (ed) Brain and behavior. I: Mood states and mind. Baltimore, pp 27-36 III. CSF Hydrodynamics
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Tokyo
About this paper
Cite this paper
Abe, M., Sano, H., Kanno, T., Toyama, H. (1991). Crossed Cerebellar Diaschisis in Hydrocephalus — Report of Three Cases. In: Matsumoto, S., Tamaki, N. (eds) Hydrocephalus. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68156-4_16
Download citation
DOI: https://doi.org/10.1007/978-4-431-68156-4_16
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68158-8
Online ISBN: 978-4-431-68156-4
eBook Packages: Springer Book Archive