Findings
Thinning of gyri with cystic encephalomalacic changes in the left cerebral hemisphere(1 and 2) with no diffusion restriction(3) suggestive of chronic infarction – resulting in ex-vacuo dilatation of the left lateral ventricle. Thinning of the corpus callosum also noted(4). The right hemicerebellum shows atrophy with no focal lesion.
Diagnosis
Crossed cerebellar diaschisis.
Summary
Chronic infarct involving the left cerebral hemisphere(likely due to hypoxic ischemic encephalopathy sequala) is noted. Contralateral hemicerebellum shows atrophy due to reduced metabolism.
Further reads
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