We report a case of rubral infarct involving adjacent ipsilateral thal
amic structures in a 54-year-old man with hypertension and coronary he
art disease. Clinical picture at onset was suggestive of Weber's syndr
ome leading to a Claude's syndrome with vertical gaze palsy and sleep
disturbances. Single photon emission computed tomography using Hm-PaO-
Tc revealed a crossed cerebellar diaschisis. This is, to our knowledge
, the first case of such crossed cerebellar diaschisis in a patient wi
th rubral infarction.