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Reverse crossed cerebellar diaschisis following refractory status epilepticus
  1. Alexis Lacout1,
  2. Pierre-Yves Marcy2,
  3. Jean-Pierre Pelage3
  1. 1Centre d'imagerie Médicale, Centre Médico chirurgical (CMC) – groupe Vitalia, Aurillac, France
  2. 2Head & Neck and Interventional Radiology Department, Antoine Lacassagne Cancer Research Institute, Nice, France
  3. 3Service de Radiologie, Hôpital Ambroise Paré, Assistance Publique-Hôpitaux de Paris, Université Paris Ile-de-France Ouest, Boulogne, France
  1. Correspondence to Dr Alexis Lacout, Centre d'imagerie Médicale, Centre Médico chirurgical (CMC) – groupe Vitalia, 83, Avenue Charles de Gaulle, 15000 Aurillac, France; lacout.alexis{at}

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A 64-year-old woman, with a history of epilepsy, presented with refractory status epilepticus. Upon admission to the intensive care unit she was treated with anticonvulsive agents (benzodiazepines, phenobarbital, and valproic acid). Her Glasgow Coma Scale (GCS) was 8; she had a fever (38.5°C) and hypoglycaemia (0.58 g/l). An electroencephalogram (EEG) performed after the anticonvulsant drugs were administered revealed a predominant left cortical slow wave activity. A magnetic resonance (MR) brain scan was performed, including axial diffusion weighted imaging (DWI) (figure 1) with apparent diffusion coefficient (ADC) map (figure 2) and axial fluid attenuated inversion recovery (FLAIR) (figure 3) weighted sequences. The left hemispheric cortex appeared hyperintense in DWI (arrows) together …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.