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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(4):822-827.
Diaschisis and Motor Recovery in Stroke Patients.
Chon, Joong Son , Chun, Se Il , Yoo, Woo Kyoung , Lee, Jong Doo , Doh, Won Su
1Department of Rehabilitation Medicine, Yonsei University College of Medicine.
2Department of Radiology, Yonsei University College of Medicine.
뇌졸중환자에서 Diaschisis 정도에 따른 운동기능회복과의 관계
전중선, 전세일, 유우경, 이종두1, 도원수
연세대학교 의과대학 재활의학교실, 1방사선학교실

To find out the motor recovery in stroke patients according to the presence of diaschisis.

Computed tomography (CT) and/or magnetic resonance imaging (MRI) scan and single photon emission computed tomography (SPECT) study were performed on a consecutive series of 98 inpatients from July 1995 to August 1996. Among them 42 stroke patients were included in this study with cerebellar, pontine, and bilateral hemispheric lesions excluded.

The types of diaschisis were crossed cerebellar diaschisis (CCD) (36 cases), thalamocortical diaschisis (6 cases), striatocortical diaschisis (5 cases), and capsulocortical diaschisis (1 case). And the functional recovery scale improved from 37.5 points to 53.0 points by the motricity index and from 41.2 points to 68.8 points by the MBI score. Only the motricity index showed a significant inverse correlation with the asymmetry index in CCD.

Although other types of diaschisis were found, the most frequent type was CCD. The lower the asymmetry score was the lower motricity index. Therefore, CCD could be a prognostic factor for the motor recovery.

Key Words: Diaschisis, Motor recovery


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