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Crossed cerebro-cellular diaschisis in a patients with melas with aphasia but without hemiparesis
N I Bohnen1, M Beran-Koehn, B Mullan
1Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
The International Journal of Neuroscience
|June 25, 1998
Abstract:
We describe a 25 year old woman diagnosed with MELAS during an acute stroke-like episode. Global aphasia, migraine-like headaches and hemi-anopsia were her main clinical features. MR imaging revealed extensive cortical and subcortical left hemispheric signal abnormalities. [Tc-99m]ECD SPECT scanning revealed crossed cerebrocerebellar diaschisis. Aphasia in the absence of gross hemiparesis can be related to cross-cerebellar diaschisis in MELAS.