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Images in Neurology
November 2001

Crossed Cerebrocerebellar Atrophy

Arch Neurol. 2001;58(11):1929-1930. doi:10.1001/archneur.58.11.1929

A 24-YEAR-OLD woman lost consciousness (3-4 days) with continuous right-sided hemiconvulsions persisting for 7 days. At the age of 5 years she had developed a fever, maculopapullar rash, cough, and Koplik spots. Her medical records describe the event as measles encephalitis with right-sided hemiparesis and dysphasia maintained during several months despite otherwise good recovery. Since the age of 13 years she had frequent (2-3 times per month) epileptic seizures manifested as short-lasting episodes of mastication followed by loss of consciousness (˜1 minute) with tonic-clonic movements of the right side of her body. Carbamazepine (800 mg/d) was introduced and in the last 2 years only 3 attacks occured with subsequent transient (1-2 hours) mild postictal right-sided hemiparesis.

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