Linguistic impairment after right cerebellar stroke: a case report

Increasing evidence suggests the involvement of the cerebellum in non-motor functions. We describe a patient who presented speech deficits after a rig ht cerebellar infarction without other cognitive impairments. Tc-99m-HMPAO single-photon emission computed tomography showed a marked hypoperfusion in the right cerebellar hemisphere, but did not show crossed cerebellar-cereb ral diaschisis. The absence of neuroradiological evidence of structural sup ratentorial lesions supports the cerebellar role in modulating not only the motor system, but also higher order functions. Eur J Neurol 6:353-356 (C) 1999 Lippincott Williams & Wilkins.